# NORTHEAST MOBILE HEALTH SERVICES

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

## Provider details

- **NPI number:** 1730125709
- **Authorized official:** ROBERT E. RUSSELL III (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (207) 510-0073

## Contact information

- **Practice address:** 12 1ST ST, TOPSHAM, ME 04086-1334
- **Practice address phone:** (207) 721-9772
- **Practice address fax:** (207) 883-5566
- **Mailing address:** 189 ODLIN RD, BANGOR, ME 04401-6703
- **Mailing address phone:** (207) 510-0073
- **Mailing address fax:** (207) 885-5566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0488 | ME | Yes |
| 3416L0300X | Land Ambulance | 486 | ME | — |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 10/07/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 130610001 | — | ME |
| 05 | — | 130610003 | — | ME |