Organization
TOWN OF WATERBORO MAINE
Active
Other names
Town of Waterboro Rescue Billing
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY J BRANDT (TOWN ADMINISTRATOR)
(207) 247-6166
Entity
Organization
Contact information
Practice address
6 JOHN SMITH RD, WATERBORO, ME 04087
(207) 247-5299
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
735
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025492
BLUE CROSS
ME
05
—
120060000
—
ME
01
—
590010669
RAILROAD MEDICARE
ME
Enumeration date
07/23/2006
Last updated
06/24/2008
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