Healthcare Provider Details
I. General information
NPI: 1831153576
Provider Name (Legal Business Name): TOWN OF BUXTON
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/12/2006
Last Update Date: 12/21/2022
Certification Date: 12/21/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
174 PORTLAND ROAD
BUXTON ME
04093
US
IV. Provider business mailing address
PO BOX 1810
WINDHAM ME
04062-1810
US
V. Phone/Fax
- Phone: 207-929-3099
- Fax: 207-929-3076
- Phone: 207-892-0020
- Fax: 207-893-0583
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | 060 |
| License Number State | ME |
VIII. Authorized Official
Name:
NATHAN
R
SCHOOLS
Title or Position: CHIEF
Credential:
Phone: 207-929-3099