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Contact Information

NORTHEAST MOBILE HEALTH SERVICES
24 WASHINGTON AVE
SCARBOROUGH, ME04074-8311
 Phone: 207-510-0073
 Fax: 207-883-5566
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for NORTHEAST MOBILE HEALTH SERVICES

NPI # 1558399295
LBN Legal business name NORTHEAST MOBILE HEALTH SERVICES
Authorized official ROBERT RUSSELL - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/29/2006
Last updated 10/07/2015 - About 11 years ago
Identifiers
ME License # 487
ME License # 488
ME Medicaid 130610000
ME Medicaid 130610002
ME Medicaid 130610004
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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