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NPI Code Detail

MEDICARE: COMMUNITY AMBULANCE INC

MEDICARE: COMMUNITY AMBULANCE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13416L0300XLand Ambulance

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
124220OTHERANTHEM BLUE CROSS

General Provider Information

NPI Number : 1275509317
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY AMBULANCE INC
Provider Business Mailing Address
First Line : 4174 KENNEBEC RD
Second Line :
City : DIXMONT
State : ME
Zip : 04932
Country : US
Telephone Number : 207-234-2094
Fax Number : 207-234-2986
Provider Business Practice Location Address
First Line : 4174 KENNEBEC RD
Second Line :
City : DIXMONT
State : ME
Zip : 04932
Country : US
Telephone Number : 207-234-2094
Fax Number : 207-234-2986
Authorized Official
Title or Position : PRESIDENT AND CHIEF
Name : MRS. VIRGINIA A COLE
Credential : EMT P
Telephone Number : 207-234-2094
Provider Enumeration Date : 02/28/2006
Last Update Date : 08/22/2020

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Directions to “COMMUNITY AMBULANCE INC ” Practice Location

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