# UNITED AMBULANCE BRIDGTON

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

## Provider details

- **NPI number:** 1508366519
- **Authorized official:** PAUL GOSSELIN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (207) 777-6006

## Contact information

- **Practice address:** 32 HOSPITAL DR, BRIDGTON, ME 04009-1166
- **Practice address phone:** (207) 777-6006
- **Practice address fax:** (207) 777-6010
- **Mailing address:** 192 RUSSELL ST, LEWISTON, ME 04240-5435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 702 | ME | Yes |

## Other

- **Enumeration date:** 02/16/2018
- **Last updated:** 02/16/2018