Organization
PENOBSCOT BAY MEDICAL EQUIPMENT & SUPPLIES, INC.
Active
Organization
PENOBSCOT BAY MEDICAL EQUIPMENT & SUPPLIES, INC.
Active
Other names
PENOBSCOT BAY MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SPENCER KNOWLTON CEO (CEO/OWNER)
(207) 236-3006
Entity
Organization
Contact information
Practice address
14 MILL ST, CAMDEN, ME 04843-1510
(207) 236-3006
(207) 236-1018
Mailing address
PO BOX 951, CAMDEN, ME 04843-0951
(207) 236-3006
(207) 236-1018
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NOT REQUIRED
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115310000
—
ME
Enumeration date
08/16/2006
Last updated
09/22/2008
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