# LIBERTY VOLUNTEER AMBULANCE SERVICE

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

## Provider details

- **NPI number:** 1043430754
- **Authorized official:** EARLE ALBERT (DEPUTY CHIEF)
- **Authorized official phone:** (207) 382-8260

## Contact information

- **Practice address:** 187 W MAIN STREET, LIBERTY, ME 04949-3401
- **Practice address phone:** (207) 382-8260
- **Mailing address:** PO BOX 174, 187 W MAIN STREET, LIBERTY, ME 04949-0174
- **Mailing address phone:** (800) 488-4351
- **Mailing address fax:** (978) 356-2721

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 415 | ME | — |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 11/11/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 999000075 | — | ME |