Organization
THREE RIVERS AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD LYFORD (CHAIRMAN, BOARD OF DIRECTORS)
(207) 943-2950
Entity
Organization
Contact information
Practice address
25 W MAIN ST, MILO, ME 04463-1016
(207) 943-2950
(207) 943-2950
Mailing address
25 W MAIN ST, PO BOX 432, MILO, ME 04463-1016
(207) 943-2950
(207) 943-2950
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
685
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011545
ANTHEM BCBS
ME
Enumeration date
02/07/2007
Last updated
08/22/2020
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