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NORTHEAST HARBOR AMBULANCE SERVICE INC. NPI 1669456190


NPI Information

NPI: 1669456190
Provider Name: NORTHEAST HARBOR AMBULANCE SERVICE, INC.

Other Name: NORTHEAST HARBOR AMBULANCE SERVICE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 20D2267278

Address:
21 SEA STREET
NORTHEAST HARBOR, ME
ZIP 04662
Phone: (207) 276-5288
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NORTHEAST HARBOR AMBULANCE SERVICE, INC. is a land transport ambulance in Northeast Harbor, ME. NORTHEAST HARBOR AMBULANCE SERVICE, INC. NPI is 1669456190. The provider is registered as an organization entity type.
The provider Other Name Is Northeast Harbor Ambulance Service.

The provider's business location address is:

21 SEA STREET
NORTHEAST HARBOR, ME
ZIP 04662
Phone: (207) 276-5288
Fax: (207) 276-5288

The provider's authorized official is Douglass S. Gray .
The authorized official title is President and has the following contact phone number (207) 276-5256.

The CLIA number assigned to this NPI record is 20D2267278 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2005 and was last updated on 5/12/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand Transport490MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1708925MEDICARE ID-TYPE UNSPECIFIEDMAINEPROVIDER NUMBER
2=========OTHERMAINETAX ID NUMBER
3168200000MEDICAIDMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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