# MONMOUTH RESCUE ASSOCIATION, INC

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

## Provider details

- **NPI number:** 1013960673
- **Authorized official:** STEPHEN F HARRISON (CHIEF OF SERVICE)
- **Authorized official phone:** (207) 933-6727

## Contact information

- **Practice address:** 847 MAIN ST, MONMOUTH, ME 04259
- **Practice address phone:** (207) 933-2615
- **Practice address fax:** (207) 933-6458
- **Mailing address:** PO BOX 1810, WINDHAM, ME 04062-1810
- **Mailing address phone:** (207) 892-0020
- **Mailing address fax:** (207) 893-0583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 473 | ME | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 02/15/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 007010 | BLUE CROSS | ME |
| 05 | — | 109720000 | — | ME |
| 01 | — | 590009753 | RAIL ROAD MEDICARE | ME |