Provider Demographics
NPI:1720114754
Name:CAMDEN FIRST AID ASSOCIATION
Entity Type:Organization
Organization Name:CAMDEN FIRST AID ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:EMTI
Authorized Official - Phone:207-236-8087
Mailing Address - Street 1:PO BOX 368
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:ME
Mailing Address - Zip Code:04843-0368
Mailing Address - Country:US
Mailing Address - Phone:207-236-8087
Mailing Address - Fax:207-236-9679
Practice Address - Street 1:123 JOHN ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:ME
Practice Address - Zip Code:04843-1936
Practice Address - Country:US
Practice Address - Phone:207-236-8087
Practice Address - Fax:207-236-9679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME1203416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME701750Medicare ID - Type UnspecifiedMEDICARE ID NUMBER