Provider Demographics
NPI:1942957188
Name:TOWN OF NEWPORT
Entity Type:Organization
Organization Name:TOWN OF NEWPORT
Other - Org Name:NEWPORT FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:CHRETIEN
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:207-368-4410
Mailing Address - Street 1:23 WATER ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04953-3111
Mailing Address - Country:US
Mailing Address - Phone:207-368-4410
Mailing Address - Fax:
Practice Address - Street 1:21 WATER ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:ME
Practice Address - Zip Code:04953-3111
Practice Address - Country:US
Practice Address - Phone:207-368-2533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-08
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance