TOWN OF WALDOBORO NPI 1053322792

NPI Information

TOWN OF WALDOBORO is an ambulance in Waldoboro, ME. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). TOWN OF WALDOBORO NPI is 1053322792. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Town Of Waldoboro Emergency Medical Service.

The provider's business location address is:

1600 ATLANTIC HIGHWAY
WALDOBORO, ME
ZIP 04572-018
Phone: (207) 832-2160
Fax: (207) 832-6061

The provider's authorized official is Michael B Poli .
The authorized official title is Deputy Director and has the following contact phone number (207) 832-2160.

The CLIA number assigned to this NPI record is 20D1067018 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 1/18/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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