Organization Active NPI

Town of Bethel

  • Land Ambulance
  • Bethel, ME
National Provider Identifier
1053497313
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
092 Issued in ME
Legal business name
TOWN OF BETHEL
Doing business as
Bethel Ambulance Service
Practice address
183 Main Street
Bethel, ME 04217
Phone
(207) 824-2669
NPI assigned
Oct 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
James G Doar
Title
Town Manager
Phone
(207) 824-2669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 092 ME Primary

Addresses

Primary practice location

183 Main Street
Bethel, ME 04217

Mailing address

PO Box 1810
Windham, ME 04062-1810
Phone (207) 892-0020

Other identifiers 3

IdentifierTypeStateIssuer
136180000MedicaidME
011653OtherMEBLUECROSS OF MAINE
590009788OtherMERAILROAD MEDICARE

Other names 1

  • Bethel Ambulance Service Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041027000895 ME Part B Supplier - Ambulance Service Supplier 9335101823 Practice locations: Bethel, ME

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D1071965Bethel Ambulance Service183 Main Street, PO Box 1660, Bethel, ME 04217Certificate of waiverAug 6, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1053497313",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 MAIN STREET",
            "city": "BETHEL",
            "state": "ME",
            "postal_code": "04217",
            "telephone_number": "207-824-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF BETHEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-30",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "DOAR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "TOWN MANAGER",
        "authorized_official_telephone_number": "207-824-2669"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136180000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS OF MAINE",
            "identifier": "011653",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590009788",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethel Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethel, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.