Healthcare Provider Details

I. General information

NPI: 1225153224
Provider Name (Legal Business Name): CITY OF BIDDEFORD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 06/07/2021
Certification Date: 06/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

152 ALFRED ST
BIDDEFORD ME
04005-3249
US

IV. Provider business mailing address

152 ALFRED ST
BIDDEFORD ME
04005-3249
US

V. Phone/Fax

Practice location:
  • Phone: 207-282-6632
  • Fax: 207-283-8243
Mailing address:
  • Phone: 207-571-1684
  • Fax: 207-283-8243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number100
License Number StateME

VIII. Authorized Official

Name: KATHY BOYDEN
Title or Position: OFFICE MANAGER
Credential:
Phone: 207-571-1684