# CITY OF BELFAST

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225165129
- **Authorized official:** JAMES RICHARDS EMTB (SERVICE CHIEF)
- **Authorized official phone:** (207) 338-3362

## Contact information

- **Practice address:** 273 MAIN STREET, BELFAST, ME 04915
- **Practice address phone:** (207) 338-3362
- **Practice address fax:** (207) 236-9679
- **Mailing address:** PO BOX 1810, WINDHAM, ME 04062-1810
- **Mailing address phone:** (207) 892-0020
- **Mailing address fax:** (207) 893-0583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0085 | ME | Yes |
| 3416L0300X | Land Ambulance | 085 | ME | — |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 09/25/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 135960000 | — | ME |