# STONEHAM RESCUE SERVICE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1619235686
- **Authorized official:** MR. FRED COFFIN (RESCUE CHIEF)
- **Authorized official phone:** (207) 890-7481

## Contact information

- **Practice address:** 8 BUTTER HILL ROAD, STONEHAM, ME 04231-0000
- **Practice address phone:** (207) 890-7481
- **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 | 0678 | ME | Yes |

## Other

- **Enumeration date:** 04/27/2012
- **Last updated:** 05/03/2012