Healthcare Provider Details

I. General information

NPI: 1407064967
Provider Name (Legal Business Name): TOWN OF ORRINGTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 01/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 SCHOOL ST
ORRINGTON ME
04474
US

IV. Provider business mailing address

19 SCHOOL STREET
ORRINGTON ME
04474
US

V. Phone/Fax

Practice location:
  • Phone: 207-825-3397
  • Fax: 207-825-3393
Mailing address:
  • Phone: 207-825-3397
  • Fax: 207-825-3393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MS. REBECCA ENMAN
Title or Position: BUSINESS MANAGER
Credential:
Phone: 207-825-3397