Healthcare Provider Details

I. General information

NPI: 1942323639
Provider Name (Legal Business Name): TOWN OF NORTH HAVEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 07/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 TOWN OFFICE SQUARE
NORTH HAVEN ME
04853
US

IV. Provider business mailing address

16 TOWN OFFICE SQUARE
NORTH HAVEN ME
04853
US

V. Phone/Fax

Practice location:
  • Phone: 207-867-4433
  • Fax: 207-867-2207
Mailing address:
  • Phone: 207-867-4433
  • Fax: 207-867-2207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number483
License Number StateME

VIII. Authorized Official

Name: JOSEPH LIBERTY STONE
Title or Position: TOWN ADMINISTRATOR
Credential:
Phone: 207-867-4433