Cundy's Harbor Volunteer Fire Department, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CUNDY'S HARBOR VOLUNTEER FIRE DEPARTMENT, INC.

Doing business as

Cundy's Harbor Fire Department

Practice address

837 Cundy's Harbor Rd
Harpswell, ME 04079

Phone

(207) 844-8105

NPI assigned

Jan 10, 2020

Last updated

Mar 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin A Wallace Jr.

Title

Fire and Rescue Chief

Phone

(207) 844-8105

Specialties & licenses 1

Addresses

Other names 1

• Cundy's Harbor Fire Department Doing business as

Electronic endpoints 1

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": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1083254668",
    "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",
            "fax_number": "207-893-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 CUNDY'S HARBOR RD",
            "city": "HARPSWELL",
            "state": "ME",
            "postal_code": "04079",
            "telephone_number": "207-844-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUNDY'S HARBOR VOLUNTEER FIRE DEPARTMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FIRE AND RESCUE CHIEF",
        "authorized_official_telephone_number": "207-844-8105",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Station",
            "affiliation": "N",
            "endpointDescription": "Rescue Station",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "837 Cundy's Harbor Rd",
            "city": "Harpswell",
            "state": "ME",
            "country_code": "US",
            "postal_code": "04079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cundy's Harbor Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cundy's Harbor Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A. M. Longley Health Center
• Am Longley Health Center PC
• Shenna Haila Bannish, DO
• Abby Rose Caron, APRN, WHNP-BC
• William Charles Daly, M.D.
• Margaret Louise Daros, LCSW, LADC
• Heather M Dick, LCSW, NCSP
• Harpswell Neck Fire Department Association
• James Allen Kneebone, DO

• Land Ambulance in Harpswell, ME
• Providers in Harpswell, 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 2, 2021; 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.