Organization
MERMAID TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN KLEIN (OWNER)
(207) 885-5630
Entity
Organization
Contact information
Practice address
3 GLASGOW RD, SCARBOROUGH, ME 04074-8781
(207) 885-5630
(207) 885-5631
Mailing address
PO BOX 10696, PORTLAND, ME 04104-6096
(207) 885-5630
(207) 885-5631
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433741800
—
MH
Enumeration date
09/03/2009
Last updated
09/03/2009
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