# CENTRAL LINCOLN COUNTY AMBULANCE

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

## Provider details

- **NPI number:** 1992731657
- **Authorized official:** NICHOLAS MICHAEL BRYANT (CHIEF)
- **Authorized official phone:** (207) 563-7105

## Contact information

- **Practice address:** 29 PIPER MILL RD, DAMARISCOTTA, ME 04543-4706
- **Practice address phone:** (207) 563-8618
- **Practice address fax:** (207) 563-8625
- **Mailing address:** PO BOX 373, DAMARISCOTTA, ME 04543-0373
- **Mailing address phone:** (207) 563-8618
- **Mailing address fax:** (207) 563-8625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 06/24/2006
- **Last updated:** 01/04/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 165740000 | — | ME |
| 01 | — | 71Z011784ME01 | BCBS PROVIDER NUMBER | ME |