| Organization Name: | COUNTY AMBULANCE INC |
| NPI Number: | 1114090586 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BARBARA K GORDON (BILLING MANAGER) |
| Mailing Address: | 208 High St Ellsworth |
| State: | ME US |
| Postal Code: | 04605 |
| Phone Number: | 2076677224 |
| Fax Number: | 2076677668 |
| NPI Enumeration Date: | 11/15/2006 |
| NPI Last Update Date: | 12/06/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 172 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |