# TOWN OF GORHAM OFFICE OF TREASURER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gorham Fire Department
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881776631
- **Authorized official:** KEN FICKETT (FIRE CHIEF)
- **Authorized official phone:** (207) 222-1643

## Contact information

- **Practice address:** 270 MAIN ST, GORHAM, ME 04038-1312
- **Practice address phone:** (207) 222-1660
- **Practice address fax:** (207) 839-7753
- **Mailing address:** 270 MAIN ST, GORHAM, ME 04038-1312
- **Mailing address phone:** (207) 222-1660
- **Mailing address fax:** (207) 839-7753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 300 | ME | — |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 06/29/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000134 | ANTHEM | — |
| 05 | — | 136580000 | — | ME |