Lifeflight of Maine, LLC

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

License

MEMS 807 - 808 Issued in ME

Legal business name

LIFEFLIGHT OF MAINE, LLC

Practice address

489 State St
Bangor, ME 04401-6616

Phone

(207) 275-2961

Fax

(207) 275-2977

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Joseph Clark Kellner

Title

Chief Executive Officer

Phone

(207) 973-4702

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1114079886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 796",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044020796",
            "telephone_number": "207-275-0294",
            "fax_number": "207-275-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016616",
            "telephone_number": "207-275-2961",
            "fax_number": "207-275-2977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Main St",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042407027",
            "country_code": "US",
            "telephone_number": "207-262-2525",
            "fax_number": "207-275-2977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28 Presidential Ln",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "ME",
            "postal_code": "040732495",
            "country_code": "US",
            "telephone_number": "207-262-2525",
            "fax_number": "207-275-2977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFEFLIGHT OF MAINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "KELLNER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "207-973-4702"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "ME",
            "license": "MEMS 807 - 808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1315900",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christanna Harlow Libby, LCPC
• Glynnis R Libby, LSW
• Melissa Lynn Libby, CNM
• Macario F. Lichauco, MD
• Life Lessons Psychiatric Services, SC
• Sarah Lifer
• Lifeworks of Maine LLC
• Susan Lind, CRNA
• Jeffrey Lee Lindsey Jr., ACDA
• Catherine Linh, DO

• Air Ambulance in Bangor, ME
• Providers in Bangor, ME by specialty
• Air Ambulance in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.