Town of Warren

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWN OF WARREN

Practice address

167 Western Rd
Warren, ME 04864-4279

Phone

(207) 354-2278

Fax

(207) 273-3373

NPI assigned

Aug 28, 2007

Organization subpart

No

Name

Ms. Polly Wood

Title

Ambulance Director

Phone

(207) 354-2278

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in ME

Locations

• Warren Ambulance Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 3, 2021.

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1093909699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 WESTERN RD",
            "city": "WARREN",
            "state": "ME",
            "postal_code": "048644279",
            "telephone_number": "207-354-2278",
            "fax_number": "207-273-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 WESTERN RD",
            "city": "WARREN",
            "state": "ME",
            "postal_code": "048644279",
            "telephone_number": "207-354-2278",
            "fax_number": "207-273-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF WARREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "POLLY",
        "authorized_official_title_or_position": "AMBULANCE DIRECTOR",
        "authorized_official_telephone_number": "207-354-2278",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "ME",
            "license": "733",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "006239",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137390000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warren Ambulance",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Warren Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rsu 40
• Thomas Sigler, LMSW
• Elizabeth Simmons, CADC
• Tracy Grafton Smith, RN
• Terence Michael Sokoloff, DDS
• Elspeth S. Trejo Savani, SLP
• Warren Family Medicine
• Laura H Zell, LCPC-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.