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Organization
MERIDIAN MOBILE HEALTH LLC
Active
Organization
MERIDIAN MOBILE HEALTH LLC
Active
Other names
Capital Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH C KELLNER (DIRECTOR OF GROUND TRANSPORT)
(207) 973-6700
Entity
Organization
Contact information
Practice address
931 UNION STREET, BANGOR, ME 04401
(207) 973-4700
(207) 973-4713
Mailing address
PO BOX 940, BANGOR, ME 04402-0940
(207) 973-4700
(207) 973-4713
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
133
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025094
ANTHEM
—
05
—
130900000
—
ME
Enumeration date
03/15/2007
Last updated
12/17/2015
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