# TOWN OF GRAY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gray Fire-Rescue
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518902485
- **Authorized official:** GALEN MORRISON (CHIEF)
- **Authorized official phone:** (207) 657-3931

## Contact information

- **Practice address:** 125 SHAKER RD, GRAY, ME 04039-7701
- **Practice address phone:** (207) 657-3931
- **Practice address fax:** (207) 657-5212
- **Mailing address:** 125 SHAKER RD, GRAY, ME 04039-7701
- **Mailing address phone:** (207) 657-3931
- **Mailing address fax:** (207) 657-5212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 305 | ME | Yes |

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 01/08/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001183 | BLUE CROSS | ME |
| 05 | — | 136610000 | — | ME |
| 01 | — | 590011879 | RAILROAD MEDICARE | ME |
| 01 | — | 705578 | MEDICARE PTAN | ME |