Healthcare Provider Details

I. General information

NPI: 1366408882
Provider Name (Legal Business Name): NORTHERN OXFORD REGIONAL AMBULANCE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2006
Last Update Date: 01/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

273 MAIN ST
MEXICO ME
04257
US

IV. Provider business mailing address

PO BOX 1810
WINDHAM ME
04062
US

V. Phone/Fax

Practice location:
  • Phone: 207-364-8748
  • Fax: 207-369-0635
Mailing address:
  • Phone: 207-892-0020
  • Fax: 207-893-0583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number484
License Number StateME

VIII. Authorized Official

Name: DEAN R MILLIGIAN
Title or Position: DIRECTOR
Credential:
Phone: 207-364-8748