Healthcare Provider Details

I. General information

NPI: 1548397490
Provider Name (Legal Business Name): CITY OF AUGUSTA TREASURER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 11/09/2022
Certification Date: 11/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

369 WATER ST
AUGUSTA ME
04330-5200
US

IV. Provider business mailing address

PO BOX 863
LEWISVILLE NC
27023-0863
US

V. Phone/Fax

Practice location:
  • Phone: 207-626-2421
  • Fax: 207-626-2424
Mailing address:
  • Phone: 800-948-7991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number041
License Number StateME

VIII. Authorized Official

Name: STEVEN E LEACH
Title or Position: DEPUTY FIRE CHIEF
Credential:
Phone: 207-626-2421