Organization
TOWN OF CHERRYFIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONA J WEST (ADMINISTRATIVE ASSISTANT)
(207) 546-2376
Entity
Organization
Contact information
Practice address
5 ROBBINS GARDENS LANE, CHERRYFIELD, ME 04622
(207) 546-2226
(207) 546-0927
Mailing address
PO BOX 58, CHERRYFIELD, ME 04622
(207) 546-2376
(207) 546-0927
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
157
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007777
ANTHEM
ME
05
—
136340000
—
ME
Enumeration date
02/26/2007
Last updated
08/13/2019
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