Provider Demographics
NPI:1689295867
Name:CENTRAL AROOSTOOK COUNTY EMERGENCY MEDICAL SERVICE AUTHORITY
Entity type:Organization
Organization Name:CENTRAL AROOSTOOK COUNTY EMERGENCY MEDICAL SERVICE AUTHORITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AMBULANCE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:
Authorized Official - Last Name:FARLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-540-6464
Mailing Address - Street 1:PO BOX 1820
Mailing Address - Street 2:
Mailing Address - City:PRESQUE ISLE
Mailing Address - State:ME
Mailing Address - Zip Code:04769-1820
Mailing Address - Country:US
Mailing Address - Phone:207-764-7529
Mailing Address - Fax:207-764-6504
Practice Address - Street 1:150 MILITARY RD
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:ME
Practice Address - Zip Code:04734-4314
Practice Address - Country:US
Practice Address - Phone:207-540-6464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-29
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance