1972537983 NPI number — HARPSWELL NECK FIRE DEPARTMENT ASSOCIATION

Table of content: (NPI 1972537983)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972537983 NPI number — HARPSWELL NECK FIRE DEPARTMENT ASSOCIATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARPSWELL NECK FIRE DEPARTMENT ASSOCIATION
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:
Provider Other Organization Name Type Code:
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:
1972537983
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/17/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

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

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1430 HARPSWELL NECK ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARPSWELL
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04079-9999
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-833-0025
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/10/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
THOMAS
Authorized Official First Name:
JOYCE
Authorized Official Middle Name:
D
Authorized Official Title or Position:
RESCUE CHIEF
Authorized Official Telephone Number:
207-833-5106

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  325 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 590014574 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".
  • Identifier: 040990 . This is a "BLUE CROSS" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".
  • Identifier: 110910000 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".