# THREE RIVERS AMBULANCE SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013057033
- **Authorized official:** MR. TODD LYFORD (CHAIRMAN, BOARD OF DIRECTORS)
- **Authorized official phone:** (207) 943-2950

## Contact information

- **Practice address:** 25 W MAIN ST, MILO, ME 04463-1016
- **Practice address phone:** (207) 943-2950
- **Practice address fax:** (207) 943-2950
- **Mailing address:** 25 W MAIN ST, PO BOX 432, MILO, ME 04463-1016
- **Mailing address phone:** (207) 943-2950
- **Mailing address fax:** (207) 943-2950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 685 | ME | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 011545 | ANTHEM BCBS | ME |