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Organization

CENTRAL LINCOLN COUNTY AMBULANCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAS MICHAEL BRYANT (CHIEF)
(207) 563-7105
Entity
Organization

Contact information

Practice address
29 PIPER MILL RD, DAMARISCOTTA, ME 04543-4706
(207) 563-8618
(207) 563-8625
Mailing address
PO BOX 373, DAMARISCOTTA, ME 04543-0373
(207) 563-8618
(207) 563-8625

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
165740000
ME
01
71Z011784ME01
BCBS PROVIDER NUMBER
ME
Enumeration date
06/24/2006
Last updated
01/04/2024
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