Provider Demographics
NPI:1356563514
Name:CITY OF ELLSWORTH
Entity type:Organization
Organization Name:CITY OF ELLSWORTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:2078120784
Authorized Official - Last Name:GUILLERAULT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-667-8666
Mailing Address - Street 1:1 CITY HALL PLZ
Mailing Address - Street 2:
Mailing Address - City:ELLSWORTH
Mailing Address - State:ME
Mailing Address - Zip Code:04605-1942
Mailing Address - Country:US
Mailing Address - Phone:207-667-8666
Mailing Address - Fax:207-667-4902
Practice Address - Street 1:1 CITY HALL PLZ
Practice Address - Street 2:
Practice Address - City:ELLSWORTH
Practice Address - State:ME
Practice Address - Zip Code:04605-1942
Practice Address - Country:US
Practice Address - Phone:207-667-8666
Practice Address - Fax:207-667-4902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport