Active NPI
Town of Houlton
Doing business as Houlton Ambulance Service
- Land Ambulance
- Houlton, ME
National Provider Identifier
1093882961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 360
- 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, 2022
- 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
- Milton Cone
- Title
- Chief
- Phone
- (207) 532-1320
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006770 | Other | ME | ANTHEM PROVIDER ID |
| 136680000 | Medicaid | ME | |
| 441590120 | Other | ME | RAILROAD MEDICARE ID |
Other names 1
- Houlton 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 |
|---|---|---|---|---|
| O20070809000106 | ME | Part B Supplier - Ambulance Service Supplier | 8527159250 | Practice locations: Houlton, ME |
National Provider Directory
National Provider DirectoryLocations
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.