# TOWN OF HOULTON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Houlton Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093882961
- **Authorized official:** MILTON CONE (CHIEF)
- **Authorized official phone:** (207) 532-1320

## Contact information

- **Practice address:** 99 MILITARY ST, HOULTON, ME 04730-2451
- **Practice address phone:** (207) 532-1320
- **Practice address fax:** (207) 532-1323
- **Mailing address:** 21 WATER ST, HOULTON, ME 04730-2104
- **Mailing address phone:** (207) 532-1320
- **Mailing address fax:** (207) 532-1323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 360 | ME | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 01/31/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 006770 | ANTHEM PROVIDER ID | ME |
| 05 | — | 136680000 | — | ME |
| 01 | — | 441590120 | RAILROAD MEDICARE ID | ME |