BLACK BEAR MEDICAL, INC.
275 Marginal Way
Portland, ME 04101
207-871-0008
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 332BC3200X | Suppliers - Durable Medical Equipment & Medical Supplies - Customized Equipment | ME | 1019767 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
128710000 | ME | MEDICAID | |
131150000 | ME | MEDICAID |