Organization Active NPI

Town of Dennysville

  • Land Ambulance
  • Dennysville, ME
National Provider Identifier
1144323510
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
220 Issued in ME
Legal business name
TOWN OF DENNYSVILLE
Doing business as
Dennysriver Vol Fire Dept & Ambulance
Practice address
58 King St
Dennysville, ME 04628
Phone
(207) 726-4674
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Mr. Wayne L Seeley
Title
Chief
Phone
(207) 726-4674

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 146N00000X 220 ME
Land Ambulance 3416L0300X 220 ME Primary

Addresses

Primary practice location

58 King St
Dennysville, ME 04628

Mailing address

1935 US RT 1
Edmunds TWP, ME 04628
Phone (207) 726-4674

Other identifiers 1

IdentifierTypeStateIssuer
011043001OtherMEBLUE CROSS BLUE SHIELD

Other names 1

  • Dennysriver Vol Fire Dept & Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070109000520 ME Part B Supplier - Ambulance Service Supplier 0941200356 Practice locations: Dennysville, ME

National Provider Directory

National Provider Directory
Tax ID family
Dennysriver Vol Fire Dept Ambulance3 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.

Locations

58 King St
Dennysville, ME 04628
Phone (207) 726-4006

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1144323510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 US RT 1",
            "city": "EDMUNDS TWP",
            "state": "ME",
            "postal_code": "04628",
            "telephone_number": "207-726-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 KING ST",
            "city": "DENNYSVILLE",
            "state": "ME",
            "postal_code": "04628",
            "telephone_number": "207-726-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF DENNYSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "SEELEY",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "207-726-4674",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": "ME",
            "license": "220",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "011043001",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dennysriver Vol Fire Dept & Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dennysville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.