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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