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City Of South Portland
Land Ambulance in South Portland, Maine
NPI 1134148331

City Of South Portland is a Land Ambulance based in Windham, ME and is specialized in Land Transport. City Of South Portland practices in South Portland, ME. The NPI Number for City Of South Portland is 1134148331 and holds a License No. 655 (Maine).

The current practice location address for City Of South Portland is 684 Broadway, South Portland, ME and can be reached out via phone at 207-797-3314.

Location: 684 Broadway, South Portland, ME, 04062-1810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134148331
Provider Name
City Of South Portland
Credential
Provider Entity Type
Organization
Address
684 Broadway, South Portland, ME, 04062-1810
Phone Number
207-797-3314
Fax Number
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
590000162 01 ME RAILROAD MEDICARE
001173 01 ME BLUE CROSS
136070000 05 ME
institution
Provider Business Practice Location Address Details
Address
684 Broadway
City
South Portland
State
Maine
Zip
04106-4407
Phone Number
207-797-3314
Fax Number
person
Provider Business Mailing Address Details
Address
684 Broadway
City
South Portland
State
Maine
Zip
04106-4407
Phone Number
207-797-3314
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Ambulance
Speciality
Land Transport
Taxonomy
3416L0300X
License No.
655 (Maine)
Definition
Definition to come...
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