1932218435 NPI number — TOWN OF VAN BUREN

Table of content: (NPI 1932218435)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932218435 NPI number — TOWN OF VAN BUREN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOWN OF VAN BUREN
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:
VAN BUREN AMBULANCE SERVICE
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:
1932218435
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
51 MAIN STREET
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
VAN BUREN
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04785-1027
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-868-2886
Provider Business Mailing Address Fax Number:
207-868-2222

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
123 WASHINGTON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VAN BUREN
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04785-1086
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-868-3452
Provider Business Practice Location Address Fax Number:
207-868-2222
Provider Enumeration Date:
08/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DYER
Authorized Official First Name:
LUKE
Authorized Official Middle Name:
Authorized Official Title or Position:
FINANCE DIRECTOR
Authorized Official Telephone Number:
207-868-2886

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  720 , registered in the state of ME ; 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)





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