# BOOTHBAY REGION AMBULANCE SERVICE

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

## Provider details

- **NPI number:** 1588781777
- **Authorized official:** SCOTT LASH (CHIEF)
- **Authorized official phone:** (207) 633-7711

## Contact information

- **Practice address:** 18 COREY LANE, BOOTHBAY, ME 04537
- **Practice address phone:** (207) 633-7711
- **Practice address fax:** (207) 633-4491
- **Mailing address:** PO BOX 1810, WINDHAM, ME 04062-1810
- **Mailing address phone:** (207) 892-0020
- **Mailing address fax:** (207) 893-0583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 0104 | ME | Yes |
| 3416L0300X | Land Ambulance | 104 | ME | — |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 06/22/2016