# TOWN OF MILLINOCKET

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

## Provider details

- **NPI number:** 1285755843
- **Authorized official:** PETER JAMIESON (TOWN MANAGER)
- **Authorized official phone:** (207) 723-7000

## Contact information

- **Practice address:** 197 PENOBSCOT AVE, MILLINOCKET, ME 04462
- **Practice address phone:** (207) 723-7026
- **Practice address fax:** (207) 723-7002
- **Mailing address:** 197 PENOBSCOT AVE, MILLINOCKET, ME 04462
- **Mailing address phone:** (207) 447-4126
- **Mailing address fax:** (207) 723-7022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 05/14/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 004648 | ANTHEM | ME |
| 05 | — | 136870000 | — | ME |
