Organization
LIFEFLIGHT OF MAINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH CLARK KELLNER (CHIEF EXECUTIVE OFFICER)
(207) 973-4702
Entity
Organization
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 275-2961
(207) 275-2977
Mailing address
PO BOX 796, BANGOR, ME 04402-0796
(207) 275-0294
(207) 275-2977
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
MEMS 807 - 808
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1315900
—
ME
Enumeration date
01/16/2007
Last updated
08/26/2024
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