City of Rockland

Organization Active NPI Land Ambulance · Rockland, ME

NPI 1124158787 · NPPES record last updated Jun 30, 2021

Key facts

NPI
1124158787
Entity type
Organization (NPI type 2)
Primary specialty
Land Ambulance 3416L0300X
License
580 (ME)
Legal business name
CITY OF ROCKLAND
Practice address
118 Park St
Rockland, ME 04841-2842
Phone
(800) 964-9200
NPI assigned
Mar 6, 2007
Organization subpart
No

Authorized official

Name
Christopher Lee Whytock
Title
Fire Chief
Phone
(207) 594-0318

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D1066761Rockland Fire and EMS
118 Park Street, Rockland, ME 04841
Certificate of waiverApr 1, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ME

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100311000348 ME Part B Supplier - Ambulance Service Supplier 7517002884 Practice locations: Rockland, ME

National Provider Directory

Locations

270 Pleasant St
Rockland, ME 04841

118 Park St
Rockland, ME 04841
Phone (207) 594-0318

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X 580 ME Yes

Addresses

Primary practice location

118 Park St
Rockland, ME 04841-2842

Mailing address

270 Pleasant St
Rockland, ME 04841-5305
Phone (207) 593-0638

Other identifiers

IdentifierTypeStateIssuer
136050000MedicaidME

Other names

  • Rockland Fire & EMS Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 30, 2021.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1124158787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 PLEASANT ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048415305",
            "telephone_number": "207-593-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PARK ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412842",
            "telephone_number": "800-964-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ROCKLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "WHYTOCK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "207-594-0318"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136050000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockland Fire & EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rockland Fire & EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockland, ME

All providers in Rockland, ME · Land Ambulance in Maine

Sources for this page

Verify at the official NPI Registry.