Town of Raymond

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0565 Issued in ME

Legal business name

TOWN OF RAYMOND

Practice address

1443 Roosevelt TRL
Raymond, ME 04071-6544

Phone

(207) 655-7851

Fax

(207) 655-2479

NPI assigned

Apr 21, 2006

Organization subpart

No

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

Authorized official

Name

Catherine J Gosselin

Title

Deputy Chief - EMS

Phone

(207) 655-1187

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• RAYMOND RESCUE 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": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1093771990",
    "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": "1443 ROOSEVELT TRL",
            "city": "RAYMOND",
            "state": "ME",
            "postal_code": "040716544",
            "telephone_number": "207-655-7851",
            "fax_number": "207-655-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF RAYMOND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "GOSSELIN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DEPUTY CHIEF - EMS",
        "authorized_official_telephone_number": "207-655-1187"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "SERVICE # 565",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "0565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137120000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAYMOND RESCUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ramneesh Trehan Medical Services PA LLC
• Raymond Redicare PC
• Stephanie Rowland, LMSW-CC
• Melissa Elizabeth Sargent
• Joshua Stanley Simpson
• Ellen Hansen Van Haasteren, OTR/L
• Jessica Walton, MS OTR/L
• Marisa D Washburn
• Richard Harry Wilkins, D.O.
• April J Wisutskie, M.S. CCC-SLP

• All providers in Raymond, ME
• Land Ambulance in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.