# NORTHEAST HARBOR AMBULANCE SERVICE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northeast Harbor Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669456190
- **Authorized official:** DOUGLASS S. GRAY JR. (PRESIDENT)
- **Authorized official phone:** (207) 276-5256

## Contact information

- **Practice address:** 21 SEA STREET, NORTHEAST HARBOR, ME 04662
- **Practice address phone:** (207) 276-5288
- **Practice address fax:** (207) 276-5288
- **Mailing address:** P O BOX 122, NORTHEAST HARBOR, ME 04662
- **Mailing address phone:** (207) 276-5288
- **Mailing address fax:** (207) 276-5288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 490 | ME | Yes |

## Other

- **Enumeration date:** 11/29/2005
- **Last updated:** 05/12/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 168200000 | — | ME |