Provider Demographics
NPI:1275509317
Name:COMMUNITY AMBULANCE INC
Entity Type:Organization
Organization Name:COMMUNITY AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CHIEF
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:EMT P
Authorized Official - Phone:207-234-2094
Mailing Address - Street 1:4174 KENNEBEC RD
Mailing Address - Street 2:
Mailing Address - City:DIXMONT
Mailing Address - State:ME
Mailing Address - Zip Code:04932
Mailing Address - Country:US
Mailing Address - Phone:207-234-2094
Mailing Address - Fax:207-234-2986
Practice Address - Street 1:4174 KENNEBEC RD
Practice Address - Street 2:
Practice Address - City:DIXMONT
Practice Address - State:ME
Practice Address - Zip Code:04932
Practice Address - Country:US
Practice Address - Phone:207-234-2094
Practice Address - Fax:207-234-2986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
24220OtherANTHEM BLUE CROSS
AM0016Medicare ID - Type Unspecified