Organization Active NPI

Town of Houlton

Doing business as Houlton Ambulance Service

  • Land Ambulance
  • Houlton, ME
National Provider Identifier
1093882961
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
360 Issued in ME
Legal business name
TOWN OF HOULTON
Doing business as
Houlton Ambulance Service
Practice address
99 Military St
Houlton, ME 04730-2451
Phone
(207) 532-1320
Fax
(207) 532-1323
NPI assigned
Nov 29, 2006
Last updated
Jan 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Milton Cone
Title
Chief
Phone
(207) 532-1320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 360 ME Primary

Addresses

Primary practice location

99 Military St
Houlton, ME 04730-2451

Mailing address

21 Water St
Houlton, ME 04730-2104
Phone (207) 532-1320

Other identifiers 3

IdentifierTypeStateIssuer
006770OtherMEANTHEM PROVIDER ID
136680000MedicaidME
441590120OtherMERAILROAD MEDICARE ID

Other names 1

  • Houlton 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
O20070809000106 ME Part B Supplier - Ambulance Service Supplier 8527159250 Practice locations: Houlton, ME

National Provider Directory

National Provider Directory

Locations

21 Water St
Houlton, ME 04730

97 Military St
Houlton, ME 04730
Phone (207) 532-1320

99 Military St
Houlton, ME 04730
Phone (207) 532-1320

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1093882961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WATER ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047302104",
            "telephone_number": "207-532-1320",
            "fax_number": "207-532-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 MILITARY ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047302451",
            "telephone_number": "207-532-1320",
            "fax_number": "207-532-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF HOULTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "CONE",
        "authorized_official_first_name": "MILTON",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "207-532-1320"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID",
            "identifier": "006770",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136680000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID",
            "identifier": "441590120",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Houlton Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Houlton Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houlton, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.