Organization
TOWN OF POLAND
Active
Other names
Poland Fire Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BOSSE (CHIEF OF SERVICE)
(207) 998-4689
Entity
Organization
Contact information
Practice address
1231 MAINE ST, POLAND, ME 04274-7328
(207) 998-4689
Mailing address
PO BOX 1810, WINDHAM, ME 04062
(207) 892-0020
(207) 893-0583
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
543
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015635
BLUE CROSS
ME
05
—
137100000
—
ME
Enumeration date
04/18/2006
Last updated
12/13/2012
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