Healthcare Provider Details

I. General information

NPI: 1932165453
Provider Name (Legal Business Name): CITY OF AUBURN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2006
Last Update Date: 10/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 MINOT AVE
AUBURN ME
04210-4390
US

IV. Provider business mailing address

PO BOX 1810
WINDHAM ME
04062-1810
US

V. Phone/Fax

Practice location:
  • Phone: 207-784-5433
  • Fax:
Mailing address:
  • Phone: 207-892-0020
  • Fax: 207-893-0583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number038
License Number StateME

VIII. Authorized Official

Name: FRANK ROMA
Title or Position: CHIEF
Credential:
Phone: 207-784-4533