Provider Demographics
NPI:1710002662
Name:TOWN OF STOCKTON SPRINGS
Entity Type:Organization
Organization Name:TOWN OF STOCKTON SPRINGS
Other - Org Name:STOCKTON SPRINGS AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:DRINKWATER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-567-4322
Mailing Address - Street 1:P.O. BOX 339
Mailing Address - Street 2:
Mailing Address - City:STOCKTON SPRINGS
Mailing Address - State:ME
Mailing Address - Zip Code:04981-0339
Mailing Address - Country:US
Mailing Address - Phone:207-567-3404
Mailing Address - Fax:207-567-3710
Practice Address - Street 1:217 MAIN STREET
Practice Address - Street 2:
Practice Address - City:STOCKTON SPRINGS
Practice Address - State:ME
Practice Address - Zip Code:04981
Practice Address - Country:US
Practice Address - Phone:207-567-3404
Practice Address - Fax:207-567-3710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME6753416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME137260000Medicaid
ME1372600000Medicaid
ME137260000Medicaid