1114539293 NPI number — TOWN OF FORT FAIRFIELD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114539293 NPI number — TOWN OF FORT FAIRFIELD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOWN OF FORT FAIRFIELD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
FORT FAIRFIELD FIRE RESCUE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114539293
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/12/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
18 COMMUNITY CENTER DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FORT FAIRFIELD
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04742-1193
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-472-3809
Provider Business Mailing Address Fax Number:
207-472-3810

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
18 COMMUNITY CENTER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORT FAIRFIELD
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04742-1193
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-472-3809
Provider Business Practice Location Address Fax Number:
207-472-3810
Provider Enumeration Date:
08/19/2020

Additional Information

Authorized Official

Authorized Official Last Name:
JALBERT
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
A
Authorized Official Title or Position:
FIRE CHIEF
Authorized Official Telephone Number:
207-472-3809

Provider Taxonomy Codes

  • Taxonomy code: 341600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com