# SACOPEE RESCUE UNIT INC

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

## Provider details

- **NPI number:** 1730125824
- **Authorized official:** LORIE ELGERLY (RESCUE CHIEF)
- **Authorized official phone:** (207) 625-3088

## Contact information

- **Practice address:** 1 ALLARD CIRCLE, HIRAM, ME 04041-9999
- **Practice address phone:** (207) 625-3088
- **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 |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 600 | ME | Yes |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 03/07/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 040684 | BLUE CROSS | ME |
| 05 | — | 107860000 | — | ME |
| 01 | — | 590014055 | RAILROAD MEDICARE | ME |