Organization
SACOPEE RESCUE UNIT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORIE ELGERLY (RESCUE CHIEF)
(207) 625-3088
Entity
Organization
Contact information
Practice address
1 ALLARD CIRCLE, HIRAM, ME 04041-9999
(207) 625-3088
Mailing address
PO BOX 1810, WINDHAM, ME 04062-1810
(207) 892-0020
(207) 893-0583
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
600
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040684
BLUE CROSS
ME
05
—
107860000
—
ME
01
—
590014055
RAILROAD MEDICARE
ME
Enumeration date
06/20/2006
Last updated
03/07/2012
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