Healthcare Provider Details

I. General information

NPI: 1205803004
Provider Name (Legal Business Name): WINTERPORT FIRE AND RESCUE ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 11/30/2023
Certification Date: 11/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 MAIN ST
WINTERPORT ME
04496-3225
US

IV. Provider business mailing address

PO BOX 724
WINTERPORT ME
04496-0724
US

V. Phone/Fax

Practice location:
  • Phone: 207-554-9990
  • Fax: 270-744-8642
Mailing address:
  • Phone: 207-505-7965
  • Fax: 270-744-8642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM M HAWKES JR.
Title or Position: CHIEF
Credential:
Phone: 207-505-7965