# TOWN OF WALDOBORO

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TOWN OF WALDOBORO
- **Other names:** Town of Waldoboro Emergency Medical Service
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053322792
- **Legal business name:** TOWN OF WALDOBORO
- **Authorized official:** DEREK S BOOKER NRP (SERVICE CHIEF)
- **Authorized official phone:** (207) 832-2160

## Contact information

- **Practice address:** 1600 ATLANTIC HIGHWAY, WALDOBORO, ME 04572-6018
- **Practice address phone:** (207) 832-2160
- **Practice address fax:** (207) 832-6061
- **Mailing address:** PO BOX J, WALDOBORO, ME 04572-0911
- **Mailing address phone:** (207) 832-2160
- **Mailing address fax:** (207) 832-2166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 730 | ME | — |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 09/24/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001187 | ANTHEM BC/BS STAR NUMBER | ME |
| 05 | — | 137370000 | — | ME |