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Organization

ACADIA MEDICAL SUPPLY INC

Active
Parent organization
ACADIA MEDICAL SUPPLY INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ACADIA MEDICAL SUPPLY INC
Authorized official
GREGORY J CRAWFORD (CEO)
(859) 441-8876
Entity
Organization

Contact information

Practice address
104 BANGOR ST STE B, HOULTON, ME 04730-1662
(207) 532-7100
(207) 532-7200
Mailing address
104 BANGOR ST STE B, HOULTON, ME 04730-1662
(207) 532-7100
(207) 532-7200

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1099966
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134980000
ME
Enumeration date
08/03/2009
Last updated
12/16/2019
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