Provider Demographics
NPI:1679537310
Name:TOWN OF LIMINGTON MAINE
Entity Type:Organization
Organization Name:TOWN OF LIMINGTON MAINE
Other - Org Name:LIMINGTON RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RESCUE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-637-2171
Mailing Address - Street 1:PO BOX 1810
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04062-1810
Mailing Address - Country:US
Mailing Address - Phone:207-892-0020
Mailing Address - Fax:207-893-0583
Practice Address - Street 1:425 SOKOKIS AVE
Practice Address - Street 2:
Practice Address - City:LIMINGTON
Practice Address - State:ME
Practice Address - Zip Code:04049-9999
Practice Address - Country:US
Practice Address - Phone:207-637-2171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-12
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME4203416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME125110000Medicaid
ME011697OtherBLUE CROSS
ME590014436OtherRAILROAD MEDICARE
ME011697OtherBLUE CROSS