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Organization

AMBULANCE SERVICE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN LABRIE (DIRECTOR)
(207) 436-0836
Entity
Organization

Contact information

Practice address
64 E MAIN ST, FORT KENT, ME 04743-1357
(207) 834-3145
(207) 834-4151
Mailing address
PO BOX 190, FORT KENT, ME 04743-0190
(207) 834-3145
(207) 834-4151

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
017
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106300000
ME
01
112846
BLUE CROSS & BLUE SHIELD
ME
Enumeration date
08/30/2006
Last updated
05/23/2014
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