Organization
UPPER KENNEBEC VALLEY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURIE LAWERYSON (EMS COORDINATOR)
(207) 672-4078
Entity
Organization
Contact information
Practice address
241 MAIN ST, BINGHAM, ME 04920-9999
(207) 672-5519
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
715
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016579
BLUE CROSS
ME
05
—
116140000
—
ME
01
—
590006292
RAILROAD
ME
Enumeration date
08/08/2006
Last updated
11/03/2011
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