Organization Active NPI

Town of Dover-Foxcroft

  • Land Ambulance
  • Dover Foxcroft, ME
National Provider Identifier
1114789583
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWN OF DOVER-FOXCROFT
Practice address
48 Morton Ave Ste a
Dover Foxcroft, ME 04426-1397
Phone
(207) 564-3318
NPI assigned
Jan 30, 2024
Last updated
Jan 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Brian Gaudet
Title
Fire Chief
Phone
(207) 564-3318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

48 Morton Ave Ste a
Dover Foxcroft, ME 04426-1397

Mailing address

48 Morton Ave Ste a
Dover Foxcroft, ME 04426-1397
Phone (207) 564-3318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250909000107 ME Part B Supplier - Ambulance Service Supplier 8820590821 Practice locations: Dover Foxcroft, ME

National Provider Directory

National Provider Directory

Locations

48 Morton Ave
Ste A
Dover Foxcroft, ME 04426
Phone (207) 564-3318

105 E Main St
Dover Foxcroft, ME 04426
Phone (207) 564-2610

NPI Registry JSON

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1114789583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MORTON AVE STE A",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261397",
            "telephone_number": "207-564-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MORTON AVE STE A",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261397",
            "telephone_number": "207-564-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF DOVER-FOXCROFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "GAUDET",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "207-564-3318"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover Foxcroft, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.