Acadia Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

332B00000X Issued in ME

Legal business name

ACADIA MEDICAL SUPPLY INC

Doing business as

Quipt Home Medical Fort Fairfield

Practice address

274 Main St
Fort Fairfield, ME 04742-1121

Phone

(207) 472-1234

Fax

(207) 472-1235

NPI assigned

Jan 8, 2007

Last updated

Nov 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory J Crawford

Title

Ceo

Phone

(859) 300-6455

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Quipt Home Medical Fort Fairfield Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Acadia Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Houlton, ME
  • NPI 1144451535

  7719199033

  Same PAC ID

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

Medicare medical equipment & supply locations

Tax ID family

Acadia Medical Supply Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Acadia Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Houlton, ME
  • NPI 1144451535
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Acadia Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Houlton, ME
  • NPI 1144451535
  NPPES parent name

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1174671150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 TOWN DR",
            "city": "HIGHLAND HEIGHTS",
            "state": "KY",
            "postal_code": "410769114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 MAIN ST",
            "city": "FORT FAIRFIELD",
            "state": "ME",
            "postal_code": "047421121",
            "telephone_number": "207-472-1234",
            "fax_number": "207-472-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIA MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-300-6455"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ME",
            "license": "332B00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134980000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quipt Home Medical Fort Fairfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Mina Freeman Ainsworth, NP
• Katherine J. Bartlett, MHRT-CSP
• Michael John Blandon, DMD
• Marian Bouchard, LCSW
• Christine P Carr, LCSW

• Durable Medical Equipment & Medical Supplies in Fort Fairfield, ME
• Providers in Fort Fairfield, ME by specialty
• Durable Medical Equipment & Medical Supplies in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.