# TOWN OF MADAWASKA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Madawaska Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952478737
- **Authorized official:** GARY PICARD (TOWN MANAGER)
- **Authorized official phone:** (207) 728-6351

## Contact information

- **Practice address:** 428 MAIN ST, MADAWASKA, ME 04756-1105
- **Practice address phone:** (207) 728-6126
- **Practice address fax:** (207) 728-3618
- **Mailing address:** PO BOX 1820, PRESQUE ISLE, ME 04769-1820
- **Mailing address phone:** (207) 764-7529
- **Mailing address fax:** (207) 764-6504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146L00000X | Paramedic | 437 | ME | — |
| 341600000X | Ambulance | — | NULL | — |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 07/20/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 007776 | ANTHEM PROVIDER ID | ME |
| 05 | — | 136820000 | — | ME |