TOWN OF JACKMAN (NPI# 1407375777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407375777 |
| Entity Type | Organization |
| Organization Name | TOWN OF JACKMAN |
| Other Organization Name | JACKMAN-MOOSE RIVER FIRE & RESCUE DEPARTMENT |
| Practice Address |
376 Main St Jackman ME 04945-9999 |
| Mailing Address |
Po Box 1810 Windham ME 04062-1810 |
| Practice Telephone | 2078920020 |
| Mailing Telephone | 2078920020 |
| Mailing Fax Number | 2078930583 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |
| Authorized Official Name | MR. WILLIAM JARVIS (CHIEF) |
| Authorized Official Telephone | 2076689516 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
1043 | ME | Transportation Services |
| Other Name | Type Code |
|---|---|
| Jackman-Moose River Fire & Rescue Department | Doing Business As Name - Organization |
| Street Address |
376 MAIN ST |
| City | JACKMAN |
| State | ME |
| Zip Code | 04945-9999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821458506 | Julia B St John | Social Worker | 376 Main St, Jackman, ME 04945 | 2016-02-24 |
| 1366800138 | Penobscot Community Health Center | Clinic/Center | 376 Main St, Jackman, ME 04945-5214 | 2016-02-08 |
| 1679950463 | Nancy German | Social Worker | 376 Main St, Jackman, ME 04945-5214 | 2015-04-30 |
| 1669802849 | Penobscot Community Health Center | Clinic/Center | 376 Main St, Jackman, ME 04945 | 2013-11-25 |
| 1104908300 | Mainegeneral Medical Center | Nursing Facility/Intermediate Care Facility | 376 Main St, Jackman, ME 04945-5214 | 2006-10-19 |
| 1295787448 | Douglas M Morong | Physician Assistant | 376 Main St, Jackman, ME 04945-5214 | 2006-05-16 |
| 1255389987 | Anna Babiarz | Physician Assistant | 376 Main St, Jackman, ME 04945-5214 | 2006-05-05 |
| 1801851654 | Patricia S Doyle | Family Medicine | 376 Main St, Jackman, ME 04945-5214 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225454531 | Penobscot Community Health Center | Dental Hygienist | 606 Main St, Jackman, ME 04945 | 2014-03-11 |
| 1487876678 | Maine School Administrative District #12 | Local Education Agency (LEA) | 606 Main Street, Jackman, ME 04945-0239 | 2007-05-03 |
| 1003123688 | Theresa M. Crawford | Specialist/Technologist | 606 Main St, Jackman, ME 04945-5002 | 2010-09-03 |
| 1871653949 | North Country Associates, Inc | Intermediate Care Facility, Mentally Retarded | 382 Main St, Jackman, ME 04945-5214 | 2006-12-11 |
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.