City of South Portland

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

655 Issued in ME

Legal business name

CITY OF SOUTH PORTLAND

Doing business as

South Portland Fire & Rescue

Practice address

684 Broadway
South Portland, ME 04106-4407

Phone

(207) 797-3314

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael E Carroll, EMT P

Title

EMS Coordinator

Phone

(207) 799-3314

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• South Portland Fire & Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Tax ID family

City of South Portland3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• City of South Portland

  • Local Education Agency (LEA)
  • South Portland, ME
  • NPI 1740498401
  NPD tax ID
• City of South Portland

  • Developmentally Disabled Services Day Training Agency
  • South Portland, ME
  • NPI 1790994176
  NPD tax ID

Locations

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1134148331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1810",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040621810",
            "telephone_number": "207-892-0020",
            "fax_number": "207-893-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 BROADWAY",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041064407",
            "telephone_number": "207-797-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SOUTH PORTLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EMS COORDINATOR",
        "authorized_official_telephone_number": "207-799-3314",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590000162",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "001173",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136070000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Portland Fire & Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Alexander Ciampi, M.D.
• Laura L. Cianchette, LMFT
• Kristen Cianelli
• Leah K Ciffolillo, LCSW
• Cindy Asbjornsen DO LLC
• City of South Portland
• City of South Portland
• James M Claiborn, PHD
• David Edson Clark, DO
• Laurie Cloutier, LMT

• Land Ambulance in South Portland, ME
• Providers in South Portland, ME by specialty
• Land Ambulance in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.