Organization
TOWN OF BRUNSWICK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY COFFILL DARLING (ACCOUNTING ASSISTANT)
(207) 725-6652
Entity
Organization
Contact information
Practice address
21 TOWN HALL PL, BRUNSWICK, ME 04011-2003
(207) 725-5541
(207) 725-6638
Mailing address
28 FEDERAL ST, BRUNSWICK, ME 04011-1510
(207) 725-6652
(207) 725-4107
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
110
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001175
ANTHEM BLUE CROSS
—
05
—
136240000
—
ME
Enumeration date
10/06/2006
Last updated
07/25/2012
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