Americoast Maine LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

AMERICOAST MAINE LLC

Practice address

214 W Main St Ste 102
Fort Kent, ME 04743-1119

Phone

(207) 834-9094

Fax

(207) 834-9097

NPI assigned

Aug 29, 2012

Organization subpart

Yes

Parent organization

COMMUNITY CARE HOLDINGS LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Ann Watts-Gormley

Title

Vice President

Phone

(716) 568-2236

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1003164682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W MAIN ST STE 102",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431119",
            "telephone_number": "207-834-9094",
            "fax_number": "207-834-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W MAIN ST STE 102",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431119",
            "telephone_number": "207-834-9094",
            "fax_number": "207-834-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICOAST MAINE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY CARE HOLDINGS LLC",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "WATTS-GORMLEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "716-568-2236"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Timothy Albert, PA-C
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• Marissa Albert, CHW
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• Jeannine Ayotte, SA COUNSELOR LADC
• Dale Bailey

• Oxygen Equipment & Supplies (DME) in Fort Kent, ME
• Providers in Fort Kent, ME by specialty
• Oxygen Equipment & Supplies (DME) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.