Liberty Volunteer Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LIBERTY VOLUNTEER AMBULANCE SERVICE

Practice address

187 W Main Street
Liberty, ME 04949-3401

Phone

(207) 382-8260

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Earle Albert

Title

Deputy Chief

Phone

(207) 382-8260

Specialties & licenses 2

Addresses

Other identifiers 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

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1043430754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 174",
            "address_2": "187 W MAIN STREET",
            "city": "LIBERTY",
            "state": "ME",
            "postal_code": "049490174",
            "telephone_number": "800-488-4351",
            "fax_number": "978-356-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 W MAIN STREET",
            "city": "LIBERTY",
            "state": "ME",
            "postal_code": "049493401",
            "telephone_number": "207-382-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY VOLUNTEER AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2021-11-11",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "EARLE",
        "authorized_official_title_or_position": "DEPUTY CHIEF",
        "authorized_official_telephone_number": "207-382-8260"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "ME",
            "license": "415",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "999000075",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Renee Cloutier, LCSW
• Ronald J Creamer
• Dana A Keniston, LCSW
• Aaron Everett Mitschke, FNP
• Painted Horses LLC
• Valerie L Poulos, PA-C
• Julio Gonzalez Santana, CMA
• Town of Liberty

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.