Healthcare Provider Details

I. General information

NPI: 1093528069
Provider Name (Legal Business Name): TOWN OF HERMON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 BILLINGS RD
HERMON ME
04401-0412
US

IV. Provider business mailing address

333 BILLINGS RD
HERMON ME
04401-0412
US

V. Phone/Fax

Practice location:
  • Phone: 207-848-5986
  • Fax:
Mailing address:
  • Phone: 207-848-5986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code146M00000X
TaxonomyIntermediate Emergency Medical Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number
License Number State

VIII. Authorized Official

Name: CODY SULLIVAN
Title or Position: FIRE CHIEF
Credential:
Phone: 207-848-1046