Organization
MONMOUTH RESCUE ASSOCIATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN F HARRISON (CHIEF OF SERVICE)
(207) 933-6727
Entity
Organization
Contact information
Practice address
847 MAIN ST, MONMOUTH, ME 04259
(207) 933-2615
(207) 933-6458
Mailing address
PO BOX 1810, WINDHAM, ME 04062-1810
(207) 892-0020
(207) 893-0583
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
473
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007010
BLUE CROSS
ME
05
—
109720000
—
ME
01
—
590009753
RAIL ROAD MEDICARE
ME
Enumeration date
05/17/2006
Last updated
02/15/2013
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