Organization
TOWN OF WALDOBORO
Active
Parent organization
TOWN OF WALDOBORO
Other names
Town of Waldoboro Emergency Medical Service
Organization subpart
Yes
Provider details
NPI number
Legal business name
TOWN OF WALDOBORO
Authorized official
DEREK S BOOKER NRP (SERVICE CHIEF)
(207) 832-2160
Entity
Organization
Contact information
Practice address
1600 ATLANTIC HIGHWAY, WALDOBORO, ME 04572-6018
(207) 832-2160
(207) 832-6061
Mailing address
PO BOX J, WALDOBORO, ME 04572-0911
(207) 832-2160
(207) 832-2166
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
730
ME
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001187
ANTHEM BC/BS STAR NUMBER
ME
05
—
137370000
—
ME
Enumeration date
08/10/2006
Last updated
09/24/2024
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