Monmouth Rescue Association, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

473 Issued in ME

Legal business name

MONMOUTH RESCUE ASSOCIATION, INC

Practice address

847 Main St
Monmouth, ME 04259

Phone

(207) 933-2615

Fax

(207) 933-6458

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Stephen F Harrison

Title

Chief of Service

Phone

(207) 933-6727

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1013960673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1810",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040621810",
            "telephone_number": "207-892-0020",
            "fax_number": "207-893-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 MAIN ST",
            "city": "MONMOUTH",
            "state": "ME",
            "postal_code": "04259",
            "telephone_number": "207-933-2615",
            "fax_number": "207-933-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH RESCUE ASSOCIATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIEF OF SERVICE",
        "authorized_official_telephone_number": "207-933-6727"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "590009753",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109720000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "007010",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Knowles
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• Anna McElhaney, COTA/L
• Amanda Nichole Milliken, FNP
• Monmouth School Department
• Monmouth School Department
• Roberta Jacqueline Mullan, LADC
• Lynn Murphy, LCSW, CADC
• Diane Adele Nugent, RPT

• All providers in Monmouth, ME
• Land Ambulance in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.