=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326161019
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TOWN OF CARMEL
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/09/2007
-----------------------------------------------------
Last Update Date | 07/22/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1 SAFETY LANE
-----------------------------------------------------
City | CARMEL
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04419
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 207-848-3361
-----------------------------------------------------
Fax | 207-848-0839
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 114
-----------------------------------------------------
City | CARMEL
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04419-0114
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 207-848-3361
-----------------------------------------------------
Fax | 207-848-0839
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | TOWN MANAGER
-----------------------------------------------------
Name | ANDREW LUDWIG HART
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 207-848-3361
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number | 140
-----------------------------------------------------
License Number State | ME
-----------------------------------------------------