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Organization
TOWN OF MADAWASKA
Active
Organization
TOWN OF MADAWASKA
Active
Other names
Madawaska Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
GARY PICARD (TOWN MANAGER)
(207) 728-6351
Entity
Organization
Contact information
Practice address
428 MAIN ST, MADAWASKA, ME 04756-1105
(207) 728-6126
(207) 728-3618
Mailing address
PO BOX 1820, PRESQUE ISLE, ME 04769-1820
(207) 764-7529
(207) 764-6504
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
437
ME
341600000X
Ambulance
—
NULL
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007776
ANTHEM PROVIDER ID
ME
05
—
136820000
—
ME
Enumeration date
11/29/2006
Last updated
07/20/2022
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