Healthcare Provider Details

I. General information

NPI: 1982672119
Provider Name (Legal Business Name): DELTA AMBULANCE CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 CHASE AVE
WATERVILLE ME
04901-4642
US

IV. Provider business mailing address

29 CHASE AVE
WATERVILLE ME
04901-4642
US

V. Phone/Fax

Practice location:
  • Phone: 207-861-4239
  • Fax: 207-861-4475
Mailing address:
  • Phone: 207-861-4239
  • Fax: 207-861-4475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number215
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER MITCHELL
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 207-861-4239