CITY OF SOUTH PORTLAND NPI 1134148331

NPI Information

CITY OF SOUTH PORTLAND is a land transport ambulance in South Portland, ME. CITY OF SOUTH PORTLAND NPI is 1134148331. The provider is registered as an organization entity type.
The provider Is Doing Business As South Portland Fire & Rescue.

The provider's business location address is:

684 BROADWAY
SOUTH PORTLAND, ME
ZIP 04106-407
Phone: (207) 797-3314

The provider's authorized official is Michael E Carroll .
The authorized official title is Ems Coordinator and has the following contact phone number (207) 799-3314.

The CLIA number assigned to this NPI record is 20D2124311 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 10/5/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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