MEDICARE: NEWFIELD RESCUE SQUAD

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	341600000X	Ambulance	31180	ME
2	341600000X	Ambulance	0481	ME

General Provider Information

NPI Number	:	1912014036
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEWFIELD RESCUE SQUAD

Provider Business Mailing Address
First Line	:	PO BOX 1810
Second Line	:
City	:	WINDHAM
State	:	ME
Zip	:	04062-1810
Country	:	US
Telephone Number	:	207-892-0020
Fax Number	:	207-893-0583

Provider Business Practice Location Address
First Line	:	85 WATER STREET
Second Line	:
City	:	WEST NEWFIELD
State	:	ME
Zip	:	04095
Country	:	US
Telephone Number	:	207-793-2330
Fax Number	:	207-793-4914

Authorized Official
Title or Position	:	TREASURER
Name	:	MR. GEORGE THOMAS JOHNSON
Credential	:
Telephone Number	:	207-793-2330

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	05/18/2015

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Directions to “NEWFIELD RESCUE SQUAD ” Practice Location

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