Healthcare Provider Details

I. General information

NPI: 1508828369
Provider Name (Legal Business Name): TOWN OF BUCKFIELD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 TURNER ST
BUCKFIELD ME
04220
US

IV. Provider business mailing address

PO BOX 1810
WINDHAM ME
04062
US

V. Phone/Fax

Practice location:
  • Phone: 207-336-2521
  • Fax: 207-336-3733
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 Number113
License Number StateME

VIII. Authorized Official

Name: MR. GLEN ELWOOD HOLMES
Title or Position: TOWN MANAGER
Credential:
Phone: 207-336-2521