Active NPI
Town of Bethel
- Land Ambulance
- Bethel, ME
National Provider Identifier
1053497313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 092
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136180000 | Medicaid | ME | |
| 011653 | Other | ME | BLUECROSS OF MAINE |
| 590009788 | Other | ME | RAILROAD MEDICARE |
Other names 1
- Bethel Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041027000895 | ME | Part B Supplier - Ambulance Service Supplier | 9335101823 | Practice locations: Bethel, ME |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D1071965 | Bethel Ambulance Service | Certificate of waiver | Aug 6, 2027 |
National Provider Directory
National Provider DirectoryNPI 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
- Saco Bay Orthopaedic and Sports Physical Therapy, Inc.
- Marion FJ Sandstrom, PT
- Tara Savage, IPDH
- School Administrative Unit 44
- Katharyn Sloma
- Cynthia J Vasko, M.S., SLP-CCC
- Victoria Crockett-Rice Dba: Bethel Station Chiropractic Office
- Stephanie Vreeland
- Walgreen Eastern Co Inc
- Jenny Mae Wheeler, M.D.
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.