Active NPI
County Ambulance Service Inc
- Land Ambulance
- Ellsworth, ME
National Provider Identifier
1114090586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 172
- Legal business name
- COUNTY AMBULANCE SERVICE INC
- Practice address
- 208 High St
Ellsworth, ME 04605 - Phone
- (207) 667-7224
- Fax
- (207) 667-7668
- NPI assigned
- Nov 15, 2006
- 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
- Mr. John F. Partridge Sr.
- Title
- President/Ceo
- Phone
- (207) 667-7224
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 172 | ME | Primary |
Addresses
Primary practice location
208 High St
Ellsworth, ME 04605
Mailing address
PO Box 724
208 High St
Ellsworth, ME 04605-0724
Phone (207) 667-7224
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014821 | Other | BXBS | |
| 106420000 | Medicaid | ME | |
| 106420003 | Other | ME | WC MEDICAID |
National Provider Directory
National Provider DirectoryLocations
210 High St
Ellsworth, ME 04605
Phone (207) 667-7224
208 High St
Ellsworth, ME 04605
Phone (207) 667-7224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491350400000",
"number": "1114090586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 724",
"address_2": "208 HIGH ST",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "046050724",
"telephone_number": "207-667-7224",
"fax_number": "207-667-7668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 HIGH ST",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "04605",
"telephone_number": "207-667-7224",
"fax_number": "207-667-7668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY AMBULANCE SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2017-04-05",
"status": "A",
"authorized_official_last_name": "PARTRIDGE",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "207-667-7224",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "ME",
"license": "172",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BXBS",
"identifier": "014821",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106420000",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WC MEDICAID",
"identifier": "106420003",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ellsworth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.