Three Rivers Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

685 Issued in ME

Legal business name

THREE RIVERS AMBULANCE SERVICE

Practice address

25 W Main St
Milo, ME 04463-1016

Phone

(207) 943-2950

Fax

(207) 943-2950

NPI assigned

Feb 7, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Todd Lyford

Title

Chairman, Board of Directors

Phone

(207) 943-2950

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013057033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W MAIN ST",
            "address_2": "PO BOX 432",
            "city": "MILO",
            "state": "ME",
            "postal_code": "044631016",
            "telephone_number": "207-943-2950",
            "fax_number": "207-943-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W MAIN ST",
            "city": "MILO",
            "state": "ME",
            "postal_code": "044631016",
            "telephone_number": "207-943-2950",
            "fax_number": "207-943-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LYFORD",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CHAIRMAN, BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "207-943-2950",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "011545",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• School Administrative District No41
• School Adminsitrative District No41 (School Administrative District No41)
• School Adminstrative District No41
• Aaron Skipper
• Kathleen S. Thibault, D.O.
• Three Rivers Residential Care Home LLC
• Todd Washburn
• Walgreen Eastern Co Inc (Rite Aid #19253)
• Willard Emery

• Land Ambulance in Milo, ME
• Providers in Milo, ME by specialty
• Land Ambulance in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.