NORTHEAST HARBOR AMBULANCE SERVICE, INC.; NPI #1669456190

Contact Information

NORTHEAST HARBOR AMBULANCE SERVICE, INC.

21 SEA STREET
NORTHEAST HARBOR, ME 04662

Phone: 207-276-5288
Fax: 207-276-5288
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for NORTHEAST HARBOR AMBULANCE SERVICE, INC.

NPI # 1669456190

LBN Legal business name NORTHEAST HARBOR AMBULANCE SERVICE, INC.

Authorized official DOUGLASS GRAY - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/29/2005

Last updated 05/12/2017 - About 9 years ago

Identifiers

ME	License #	490
ME	Medicaid	168200000

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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