Healthcare Provider Details

I. General information

NPI: 1124158787
Provider Name (Legal Business Name): CITY OF ROCKLAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 06/30/2021
Certification Date: 06/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 PARK ST
ROCKLAND ME
04841-2842
US

IV. Provider business mailing address

270 PLEASANT ST
ROCKLAND ME
04841-5305
US

V. Phone/Fax

Practice location:
  • Phone: 800-964-9200
  • Fax:
Mailing address:
  • Phone: 207-593-0638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number580
License Number StateME

VIII. Authorized Official

Name: CHRISTOPHER LEE WHYTOCK
Title or Position: FIRE CHIEF
Credential:
Phone: 207-594-0318