Town of Searsport

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

620 Issued in ME

Legal business name

TOWN OF SEARSPORT

Doing business as

Town of Searsport Ambulance

Practice address

3 Union St
Searsport, ME 04974-3344

Phone

(207) 548-6372

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

James Stuart Gillway

Title

Town Manager

Phone

(207) 548-6372

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Town of Searsport Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1063437291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 499",
            "city": "SEARSPORT",
            "state": "ME",
            "postal_code": "049740499",
            "telephone_number": "207-548-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 UNION ST",
            "city": "SEARSPORT",
            "state": "ME",
            "postal_code": "049743344",
            "telephone_number": "207-548-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF SEARSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "GILLWAY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "TOWN MANAGER",
        "authorized_official_telephone_number": "207-548-6372"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "010988",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137180000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town of Searsport Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Bladir Zamora

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.