Provider Demographics
NPI:1922375419
Name:ST. GEORGE VOLUNTEER FIREMEN'S ASSOCIATION
Entity Type:Organization
Organization Name:ST. GEORGE VOLUNTEER FIREMEN'S ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS 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:207-322-2309
Mailing Address - Street 1:PO BOX 249
Mailing Address - Street 2:
Mailing Address - City:TENANTS HARBOR
Mailing Address - State:ME
Mailing Address - Zip Code:04860-0249
Mailing Address - Country:US
Mailing Address - Phone:207-322-2309
Mailing Address - Fax:
Practice Address - Street 1:3 SCHOOL STREET
Practice Address - Street 2:
Practice Address - City:TENANTS HARBOR
Practice Address - State:ME
Practice Address - Zip Code:04860-0249
Practice Address - Country:US
Practice Address - Phone:207-372-8581
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-28
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
341600000X
ME6053416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance