Organization
TOWN OF STANDISH
Active
Other names
DBA Standish EMS
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT J LIBBY (CHIEF FIRE/ EMS)
(207) 892-0020
Entity
Organization
Contact information
Practice address
175 NORTHEAST RD, STANDISH, ME 04084-6470
(207) 642-8821
(207) 642-8213
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
670
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024997
ANTHEM
ME
05
—
132720000
—
ME
Enumeration date
07/21/2005
Last updated
10/29/2008
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