# MEMORIAL AMBULANCE CORPS. ISLE AU HAUT - STONINGTON - DEER ISLE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Memorial Ambulance Corps.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720062987
- **Authorized official:** WALTER T. REED EMT-I (DIRECTOR - MEMORIAL AMBULANCE CORPS)
- **Authorized official phone:** (207) 348-5686

## Contact information

- **Practice address:** 77 SUNSHINE RD, DEER ISLE, ME 04627
- **Practice address phone:** (207) 348-5686
- **Practice address fax:** (207) 348-5692
- **Mailing address:** P O BOX 387, DEER ISLE, ME 04627
- **Mailing address phone:** (207) 348-5686
- **Mailing address fax:** (207) 348-5692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 460 | ME | Yes |
| 3416L0300X | Land Ambulance | 460 | ME | — |

## Other

- **Enumeration date:** 12/01/2005
- **Last updated:** 11/07/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 104070000 | — | ME |