Provider Demographics
NPI:1114090586
Name:COUNTY AMBULANCE SERVICE INC
Entity Type:Organization
Organization Name:COUNTY AMBULANCE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:PARTRIDGE
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:207-667-7224
Mailing Address - Street 1:PO BOX 724
Mailing Address - Street 2:208 HIGH ST
Mailing Address - City:ELLSWORTH
Mailing Address - State:ME
Mailing Address - Zip Code:04605-0724
Mailing Address - Country:US
Mailing Address - Phone:207-667-7224
Mailing Address - Fax:207-667-7668
Practice Address - Street 1:208 HIGH ST
Practice Address - Street 2:
Practice Address - City:ELLSWORTH
Practice Address - State:ME
Practice Address - Zip Code:04605
Practice Address - Country:US
Practice Address - Phone:207-667-7224
Practice Address - Fax:207-667-7668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME1723416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
014821OtherBXBS
ME106420000Medicaid
ME106420003OtherWC MEDICAID
ME106420003OtherWC MEDICAID
708151Medicare ID - Type Unspecified