# TOWN OF JACKMAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jackman-Moose River Fire & Rescue Department
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407375777
- **Authorized official:** MR. WILLIAM JARVIS (CHIEF)
- **Authorized official phone:** (207) 668-9516

## Contact information

- **Practice address:** 376 MAIN ST, JACKMAN, ME 04945-9999
- **Practice address phone:** (207) 892-0020
- **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 | 1043 | ME | Yes |

## Other

- **Enumeration date:** 09/18/2017
- **Last updated:** 09/18/2017