Provider Demographics
NPI:1265119408
Name:TOWN OF ST. GEORGE
Entity type:Organization
Organization Name:TOWN OF ST. GEORGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:DYER
Authorized Official - Last Name:DRINKWATER
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:207-372-6363
Mailing Address - Street 1:PO BOX 131
Mailing Address - Street 2:
Mailing Address - City:TENANTS HARBOR
Mailing Address - State:ME
Mailing Address - Zip Code:04860-0131
Mailing Address - Country:US
Mailing Address - Phone:207-322-2309
Mailing Address - Fax:
Practice Address - Street 1:SCHOOL STREET
Practice Address - Street 2:3 SCHOOL STREET
Practice Address - City:TENANTS HARBOR
Practice Address - State:ME
Practice Address - Zip Code:04860
Practice Address - Country:US
Practice Address - Phone:207-372-6363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-29
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Multi-Specialty
No341600000XTransportation ServicesAmbulanceGroup - Multi-Specialty
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Multi-Specialty
No146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, IntermediateGroup - Multi-Specialty
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Multi-Specialty