Organization Active NPI

City of Belfast

  • Land Ambulance
  • Belfast, ME
National Provider Identifier
1225165129
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0085 Issued in ME
Legal business name
CITY OF BELFAST
Practice address
273 Main Street
Belfast, ME 04915
Phone
(207) 338-3362
Fax
(207) 236-9679
NPI assigned
Feb 27, 2007
Last updated
Sep 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Authorized official

Name
James Richards, EMTB
Title
Service Chief
Phone
(207) 338-3362

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 085 ME
Land Ambulance 3416L0300X 0085 ME Primary

Addresses

Primary practice location

273 Main Street
Belfast, ME 04915

Mailing address

PO Box 1810
Windham, ME 04062-1810
Phone (207) 892-0020

Other identifiers 1

IdentifierTypeStateIssuer
135960000MedicaidME

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100317000024 ME Part B Supplier - Ambulance Service Supplier 1153456108 Practice locations: Belfast, ME

National Provider Directory

National Provider Directory

Locations

131 Church St
Belfast, ME 04915
Phone (207) 236-8087

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1225165129",
    "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": "273 MAIN STREET",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "04915",
            "telephone_number": "207-338-3362",
            "fax_number": "207-236-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BELFAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "SERVICE CHIEF",
        "authorized_official_telephone_number": "207-338-3362",
        "authorized_official_credential": "EMTB"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "085",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "0085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135960000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belfast, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.