Ambulance Service Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

017 Issued in ME

Legal business name

AMBULANCE SERVICE INC.

Practice address

64 E Main St
Fort Kent, ME 04743-1357

Phone

(207) 834-3145

Fax

(207) 834-4151

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Labrie

Title

Director

Phone

(207) 436-0836

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400803200000",
    "number": "1205946688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047430190",
            "telephone_number": "207-834-3145",
            "fax_number": "207-834-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 E MAIN ST",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431357",
            "telephone_number": "207-834-3145",
            "fax_number": "207-834-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULANCE SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-05-23",
        "status": "A",
        "authorized_official_last_name": "LABRIE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "207-436-0836",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106300000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "112846",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Timothy Albert, PA-C
• Jordan Albert, PHARMD
• Marissa Albert, CHW
• Americoast Maine LLC
• Aroostook County Action Program
• Aroostook Pharmacy Inc.
• Aroostook Pharmacy Inc.
• Jeannine Ayotte, SA COUNSELOR LADC

• Land Ambulance in Fort Kent, ME
• Providers in Fort Kent, ME by specialty
• Land Ambulance in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; 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.