Organization
NORTHEAST HARBOR AMBULANCE SERVICE, INC.
Active
Other names
Northeast Harbor Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLASS S. GRAY JR. (PRESIDENT)
(207) 276-5256
Entity
Organization
Contact information
Practice address
21 SEA STREET, NORTHEAST HARBOR, ME 04662
(207) 276-5288
(207) 276-5288
Mailing address
P O BOX 122, NORTHEAST HARBOR, ME 04662
(207) 276-5288
(207) 276-5288
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
490
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168200000
—
ME
Enumeration date
11/29/2005
Last updated
05/12/2017
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