Organization
COUNTY AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN F. PARTRIDGE SR. (PRESIDENT/CEO)
(207) 667-7224
Entity
Organization
Contact information
Practice address
208 HIGH ST, ELLSWORTH, ME 04605
(207) 667-7224
(207) 667-7668
Mailing address
PO BOX 724, 208 HIGH ST, ELLSWORTH, ME 04605-0724
(207) 667-7224
(207) 667-7668
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
172
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014821
BXBS
—
05
—
106420000
—
ME
01
—
106420003
WC MEDICAID
ME
Enumeration date
11/15/2006
Last updated
04/05/2017
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