Provider Demographics
NPI:1639858814
Name:TOWN OF LEE
Entity Type:Organization
Organization Name:TOWN OF LEE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:CROCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-738-3473
Mailing Address - Street 1:7 SLIPPER RDG
Mailing Address - Street 2:
Mailing Address - City:LEE
Mailing Address - State:ME
Mailing Address - Zip Code:04455-4528
Mailing Address - Country:US
Mailing Address - Phone:207-738-3473
Mailing Address - Fax:
Practice Address - Street 1:2794 LEE ROAD
Practice Address - Street 2:
Practice Address - City:LEE
Practice Address - State:ME
Practice Address - Zip Code:04455
Practice Address - Country:US
Practice Address - Phone:207-738-3473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport