Provider Demographics
NPI:1043689409
Name:TOWN OF ACTON
Entity type:Organization
Organization Name:TOWN OF ACTON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-608-5350
Mailing Address - Street 1:P.O. BOX 58
Mailing Address - Street 2:
Mailing Address - City:WINTERPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04496
Mailing Address - Country:US
Mailing Address - Phone:207-223-5733
Mailing Address - Fax:207-223-5743
Practice Address - Street 1:1725 ROUTE 109
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:ME
Practice Address - Zip Code:04001-5218
Practice Address - Country:US
Practice Address - Phone:207-636-3230
Practice Address - Fax:207-636-4520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-16
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME1035341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance