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Organization
CITY OF OLD TOWN
Active
Organization
CITY OF OLD TOWN
Active
Other names
Old Town Fire & Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE O'MALLEY (CHIEF)
(207) 827-3962
Entity
Organization
Contact information
Practice address
150 BRUNSWICK ST, OLD TOWN, ME 04468-1408
(207) 827-3400
Mailing address
PO BOX 1810, WINDHAM, ME 04062-1810
(207) 892-0020
(207) 893-0583
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
505
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001170
BLUE CROSS
ME
01
—
590008031
RAILROAD MEDICARE
ME
Enumeration date
04/18/2006
Last updated
10/05/2011
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