Organization
TOWN OF NEW GLOUCESTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI-ANNE WILSON (DEPUTY TREASURER)
(207) 926-4126
Entity
Organization
Contact information
Practice address
611 LEWISTON ROAD, NEW GLOUCESTER, ME 04260-3818
(207) 926-4142
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
0937
ME
3416L0300X
Land Ambulance
937
ME
Other
Enumeration date
12/10/2013
Last updated
03/16/2016
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