| Organization Name: | PENINSULA AMBULANCE CORPS |
| NPI Number: | 1023133253 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEOFFREY W MILLER (MANAGER) |
| Mailing Address: | 42 Water Street Blue Hill |
| State: | ME US |
| Postal Code: | 04614 |
| Phone Number: | 2073749955 |
| Fax Number: | 2073745825 |
| NPI Enumeration Date: | 03/20/2007 |
| NPI Last Update Date: | 05/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 530 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |