Organization
TOWN OF WINDHAM
Active
Other names
Town of Windham Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES H HAMMOND (CHIEF)
(207) 892-1911
Entity
Organization
Contact information
Practice address
375 GRAY RD, WINDHAM, ME 04062-4248
(207) 892-6751
Mailing address
PO BOX 1810, WINDHAM, ME 04062-1810
(207) 892-0020
(207) 893-0583
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
760
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012184
BLUE CROSS
ME
05
—
137480000
—
ME
01
—
590008834
RAILROAD MEDICARE
ME
Enumeration date
07/10/2006
Last updated
10/05/2011
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