Provider Demographics
NPI:1942323639
Name:TOWN OF NORTH HAVEN
Entity Type:Organization
Organization Name:TOWN OF NORTH HAVEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TOWN ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:LIBERTY
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-867-4433
Mailing Address - Street 1:16 TOWN OFFICE SQUARE
Mailing Address - Street 2:
Mailing Address - City:NORTH HAVEN
Mailing Address - State:ME
Mailing Address - Zip Code:04853
Mailing Address - Country:US
Mailing Address - Phone:207-867-4433
Mailing Address - Fax:207-867-2207
Practice Address - Street 1:16 TOWN OFFICE SQUARE
Practice Address - Street 2:
Practice Address - City:NORTH HAVEN
Practice Address - State:ME
Practice Address - Zip Code:04853
Practice Address - Country:US
Practice Address - Phone:207-867-4433
Practice Address - Fax:207-867-2207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME483341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
METO-AM0207Medicare ID - Type Unspecified