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Contact Information

MEMORIAL AMBULANCE CORPS. ISLE AU HAUT - STONINGTON - DEER ISLE
77 SUNSHINE RD
DEER ISLE, ME04627
 Phone: 207-348-5686
 Fax: 207-348-5692
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
 

Land Transport

3416L0300X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for MEMORIAL AMBULANCE CORPS. ISLE AU HAUT - STONINGTON - DEER ISLE

NPI Number 1720062987
LBN Legal business name MEMORIAL AMBULANCE CORPS. ISLE AU HAUT - STONINGTON - DEER ISLE
Authorized official WALTER REED - (DIRECTOR - MEMORIAL AMBULANCE CORPS)
Entity Organization
Organization subpart 1 No
Enumeration date 12/01/2005
Last updated 11/07/2012 - About 14 years ago
Identifiers
ME License # 460
ME Medicaid 104070000
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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