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Organization
NORTHEAST MOBILE HEALTH SERVICES
Active
Organization
NORTHEAST MOBILE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E. RUSSELL III (CHIEF OPERATING OFFICER)
(207) 510-0073
Entity
Organization
Contact information
Practice address
12 1ST ST, TOPSHAM, ME 04086-1334
(207) 721-9772
(207) 883-5566
Mailing address
189 ODLIN RD, BANGOR, ME 04401-6703
(207) 510-0073
(207) 885-5566
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0488
ME
3416L0300X
Land Ambulance
486
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130610001
—
ME
05
—
130610003
—
ME
Enumeration date
06/20/2006
Last updated
10/07/2015
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