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
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D1066761 | Rockland Fire and EMS | Certificate of waiver | Apr 1, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136050000 | Medicaid | ME |
Other names
- Rockland Fire & EMS
NPI Registry JSON
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.