Town of Fort Fairfield

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWN OF FORT FAIRFIELD

Practice address

18 Community Center Dr
Fort Fairfield, ME 04742-1193

Phone

(207) 472-3809

Fax

(207) 472-3810

NPI assigned

Aug 19, 2020

Organization subpart

No

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

Authorized official

Name

Michael A Jalbert

Title

Fire Chief

Phone

(207) 472-3809

Specialties & licenses 2

Addresses

Other names 1

• Fort Fairfield Fire Rescue Doing business as

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": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1114539293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 COMMUNITY CENTER DR",
            "city": "FORT FAIRFIELD",
            "state": "ME",
            "postal_code": "047421193",
            "telephone_number": "207-472-3809",
            "fax_number": "207-472-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 COMMUNITY CENTER DR",
            "city": "FORT FAIRFIELD",
            "state": "ME",
            "postal_code": "047421193",
            "telephone_number": "207-472-3809",
            "fax_number": "207-472-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF FORT FAIRFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "JALBERT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "207-472-3809"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Fairfield Fire Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anne Judith Soucy, MD
• Suzanne St. Pierre-Donovan
• T&G, LLC
• Von M. Taggart, MHRT-CSP
• Donna L. Tilley, MHRT-1
• Walgreen Co
• White Smiles Family Dentistry
• Joseph White, D.M.D.
• Al Whitten, MHRT-C
• Pamela Lynn Willette, RN

• Land Ambulance in Fort Fairfield, ME
• Providers in Fort Fairfield, ME by specialty
• Land Ambulance in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.