Healthcare Provider Details

I. General information

NPI: 1477577039
Provider Name (Legal Business Name): TOWN OF ISLAND FALLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 07/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 HOULTON STREET
ISLAND FALLS ME
04747
US

IV. Provider business mailing address

PO BOX 100
ISLAND FALLS ME
04747-0100
US

V. Phone/Fax

Practice location:
  • Phone: 207-463-2246
  • Fax: 207-463-2550
Mailing address:
  • Phone: 207-463-2246
  • Fax: 207-463-2550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number388
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number388
License Number StateME

VIII. Authorized Official

Name: MS. CHERYL LYNN MCNALLY
Title or Position: TOWN CLERK
Credential:
Phone: 207-463-2246