Organization
STERLING AMBULANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON WILEY (OWNER)
(207) 785-5763
Entity
Organization
Contact information
Practice address
452 PAYSON RD, UNION, ME 04862-3204
(207) 785-5763
(207) 785-5762
Mailing address
PO BOX 187, UNION, ME 04862-0187
(207) 785-5763
(207) 785-5762
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
672
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042695
ANTHEM BCBS
ME
05
—
134760000
—
ME
Enumeration date
07/09/2006
Last updated
10/20/2010
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