Organization
GOODWINS MILLS RESCUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN MARIE GAGNON DEPUTY CHIEF FF EMT (DEPUTY CHIEF EMS DIRECTOR)
(207) 499-2362
Entity
Organization
Contact information
Practice address
481 GOODWINS MILLS RD, LYMAN, ME 04002
(207) 929-3167
(207) 467-9112
Mailing address
PO BOX 1810, WINDHAM, ME 04062
(207) 892-0020
(207) 893-0583
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
297
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024395
BLUE CROSS
ME
Enumeration date
07/08/2006
Last updated
08/22/2020
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