MEDICARE: TOWN OF STOCKTON SPRINGS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	675	ME

General Provider Information

NPI Number	:	1710002662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF STOCKTON SPRINGS

Provider Business Mailing Address
First Line	:	P.O. BOX 339
Second Line	:
City	:	STOCKTON SPRINGS
State	:	ME
Zip	:	04981-0339
Country	:	US
Telephone Number	:	207-567-3404
Fax Number	:	207-567-3710

Provider Business Practice Location Address
First Line	:	217 MAIN STREET
Second Line	:
City	:	STOCKTON SPRINGS
State	:	ME
Zip	:	04981
Country	:	US
Telephone Number	:	207-567-3404
Fax Number	:	207-567-3710

Authorized Official
Title or Position	:	DIRECTOR
Name	:	AMY DRINKWATER
Credential	:
Telephone Number	:	207-567-4322

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	06/29/2022

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1124352406 — DIANE KEUBLER LCSW
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Practice Location Address:

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1730592205 — DAPHNE C LANG MD
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Directions to “TOWN OF STOCKTON SPRINGS ” Practice Location

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