Provider Demographics
NPI:1811141716
Name:TOWN OF WOOLWICH
Entity type:Organization
Organization Name:TOWN OF WOOLWICH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARLTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-443-3589
Mailing Address - Street 1:13 NEQUASSET RD
Mailing Address - Street 2:
Mailing Address - City:WOOLWICH
Mailing Address - State:ME
Mailing Address - Zip Code:04579-4465
Mailing Address - Country:US
Mailing Address - Phone:207-443-3589
Mailing Address - Fax:207-707-5199
Practice Address - Street 1:13 NEQUASSET RD
Practice Address - Street 2:
Practice Address - City:WOOLWICH
Practice Address - State:ME
Practice Address - Zip Code:04579-4465
Practice Address - Country:US
Practice Address - Phone:207-442-7094
Practice Address - Fax:207-442-8859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-05
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME7723416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport