Healthcare Provider Details

I. General information

NPI: 1427049402
Provider Name (Legal Business Name): ANSON MADISON AMBULANCE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ARNOLD LANE
ANSON ME
04911
US

IV. Provider business mailing address

PO BOX 277
MADISON ME
04950-0277
US

V. Phone/Fax

Practice location:
  • Phone: 207-696-5332
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: DAVID BECKWITH
Title or Position: DIRECTOR
Credential:
Phone: 207-696-5332