Organization
NORTHEAST MOBILE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E. RUSSELL III (CHIEF OPERATING OFFICER)
(207) 510-0073
Entity
Organization
Contact information
Practice address
12 1ST ST, TOPSHAM, ME 04086-1334
(207) 721-9772
(207) 883-5566
Mailing address
189 ODLIN RD, BANGOR, ME 04401-6703
(207) 510-0073
(207) 885-5566
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0488
ME
3416L0300X
Land Ambulance
486
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130610001
—
ME
05
—
130610003
—
ME
Enumeration date
06/20/2006
Last updated
10/07/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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