Organization
TOWN OF ASHLAND
Active
Other names
Ashland Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
TARA PETERSON (DIRECTOR)
(207) 435-6323
Entity
Organization
Contact information
Practice address
17 BRIDGHAM ST., ASHLAND, ME 04732-0910
(207) 435-6323
(207) 435-2005
Mailing address
PO BOX 910, 17 BRIDGHAM ST., ASHLAND, ME 04732-0910
(207) 435-6323
(207) 435-2005
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
#40
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004692
ANTHEM STAR CONTRACT ID #
ME
05
—
136150000
—
ME
01
—
A0510
ANTHEM PROVIDER ID #
ME
Enumeration date
03/08/2007
Last updated
06/30/2025
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