# PLEASANT RIVER AMBULANCE SERVICE

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

## Provider details

- **NPI number:** 1104809938
- **Authorized official:** MRS. CHARLENE HAMMOND (MANAGER)
- **Authorized official phone:** (207) 483-2700

## Contact information

- **Practice address:** 183 US HIGHWAY 1, COLUMBIA, ME 04623-3103
- **Practice address phone:** (207) 483-2700
- **Practice address fax:** (207) 483-2064
- **Mailing address:** 183 US HIGHWAY 1, COLUMBIA, ME 04623-3103
- **Mailing address phone:** (207) 483-2700
- **Mailing address fax:** (207) 483-2064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 544 | ME | Yes |

## Other

- **Enumeration date:** 11/25/2005
- **Last updated:** 02/16/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 128540000 | — | ME |