Healthcare Provider Details

I. General information

NPI: 1073954517
Provider Name (Legal Business Name): TOWN OF HOWLAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2013
Last Update Date: 01/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 WILLOW STREET
HOWLAND ME
04448
US

IV. Provider business mailing address

PO BOX 1810
WINDHAM ME
04062-1810
US

V. Phone/Fax

Practice location:
  • Phone: 207-732-3513
  • Fax:
Mailing address:
  • Phone: 207-732-3513
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number1024
License Number StateME

VIII. Authorized Official

Name: TRACEY HUTTON
Title or Position: TOWN MANAGER
Credential:
Phone: 207-732-4112