# GOODWINS MILLS RESCUE

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

## Provider details

- **NPI number:** 1043243579
- **Authorized official:** MS. KAREN MARIE GAGNON DEPUTY CHIEF FF EMT (DEPUTY CHIEF EMS DIRECTOR)
- **Authorized official phone:** (207) 499-2362

## Contact information

- **Practice address:** 481 GOODWINS MILLS RD, LYMAN, ME 04002
- **Practice address phone:** (207) 929-3167
- **Practice address fax:** (207) 467-9112
- **Mailing address:** PO BOX 1810, WINDHAM, ME 04062
- **Mailing address phone:** (207) 892-0020
- **Mailing address fax:** (207) 893-0583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 297 | ME | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 024395 | BLUE CROSS | ME |