Organization
LISBON EMERGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MACDONNELL (CHIEF)
(207) 353-4079
Entity
Organization
Contact information
Practice address
42 VILLAGE ST, LISBON, ME 04250-6422
(207) 353-4079
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
422
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002247
BLUE CROSS
ME
05
—
175850000
—
ME
Enumeration date
06/20/2006
Last updated
11/13/2012
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