Pleasant River Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

544 Issued in ME

Legal business name

PLEASANT RIVER AMBULANCE SERVICE

Practice address

183 US Highway 1
Columbia, ME 04623-3103

Phone

(207) 483-2700

Fax

(207) 483-2064

NPI assigned

Nov 25, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Charlene Hammond

Title

Manager

Phone

(207) 483-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1104809938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 US HIGHWAY 1",
            "city": "COLUMBIA",
            "state": "ME",
            "postal_code": "046233103",
            "telephone_number": "207-483-2700",
            "fax_number": "207-483-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 US HIGHWAY 1",
            "city": "COLUMBIA",
            "state": "ME",
            "postal_code": "046233103",
            "telephone_number": "207-483-2700",
            "fax_number": "207-483-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT RIVER AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-25",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "207-483-2700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128540000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvonne Mae Hayward, MS, CCC-SLP
• Kelly Dawn Moores, M.S.
• Open Arms Developmental Services Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.