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Organization
TOWN OF SEBAGO
Active
Organization
TOWN OF SEBAGO
Active
Other names
Sebago EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM SMITH (RESCUE CHIEF)
(207) 787-4120
Entity
Organization
Contact information
Practice address
7 PIT ROAD, SEBAGO, ME 04029-9999
(207) 787-4120
Mailing address
PO BOX 1810, WINDHAM, ME 04062-1810
(207) 892-0020
(207) 893-0583
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
625
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024996
BLUE CROSS
ME
05
—
154700000
—
ME
Enumeration date
08/08/2006
Last updated
05/24/2012
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