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Organization
NORTHERN LIGHT MEDICAL TRANSPORT
Active
Organization
NORTHERN LIGHT MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH CLARK KELLNER (VP EMER SERVICES AND COMM PROGS)
(207) 973-4702
Entity
Organization
Contact information
Practice address
931 UNION ST, BANGOR, ME 04401-3011
(207) 973-4700
(207) 973-4713
Mailing address
43 WHITING HILL RD, BREWER, ME 04412-1005
(207) 973-4702
(207) 973-4713
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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