Peninsula Ambulance Corps
Organization Active NPI Land Ambulance · Blue Hill, ME
NPI 1023133253 · NPPES record last updated Feb 24, 2026
Key facts
- NPI
- 1023133253
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 530 (ME)
- Legal business name
- PENINSULA AMBULANCE CORPS
- Practice address
- 42 Water St
Blue Hill, ME 04614-5232 - Phone
- (207) 374-9955
- Fax
- (207) 374-5825
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Alan William Henschke, NRP
- Title
- Manager
- Phone
- (207) 374-9955
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050907000200 | ME | Part B Supplier - Ambulance Service Supplier | 6002848470 | Practice locations: Blue Hill, ME |
National Provider Directory
Locations
42 Water St
Blue Hill, ME 04614
Phone (207) 374-9955
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 530 | ME | Yes |
Addresses
Primary practice location
42 Water St
Blue Hill, ME 04614-5232
Mailing address
PO Box 834
Blue Hill, ME 04614-0834
Phone (207) 374-9955
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138000000 | Medicaid | ME |
Other providers in Blue Hill, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.