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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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