Organization
NORTHERN LIGHT MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH CLARK KELLNER (VP EMER SERVICES AND COMM PROGS)
(207) 973-4702
Entity
Organization
Contact information
Practice address
931 UNION ST, BANGOR, ME 04401-3011
(207) 973-4700
(207) 973-4713
Mailing address
43 WHITING HILL RD, BREWER, ME 04412-1005
(207) 973-4702
(207) 973-4713
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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