Organization Active NPI

Goodwins Mills Fire-Rescue

  • Land Ambulance
  • Lyman, ME
National Provider Identifier
1235400342
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0297 Issued in ME
Legal business name
GOODWINS MILLS FIRE-RESCUE
Practice address
481 Goodwins Mills Rd
Lyman, ME 04002-7524
Phone
(207) 499-2362
Fax
(207) 499-2893
NPI assigned
Jan 20, 2012
Last updated
Jan 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Roger S Hooper
Title
Fire Chief
Phone
(207) 499-2362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0297 ME Primary

Addresses

Primary practice location

481 Goodwins Mills Rd
Lyman, ME 04002-7524

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120320000070 ME Part B Supplier - Ambulance Service Supplier 3870753403 Practice locations: Lyman, ME

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1235400342",
    "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": "481 GOODWINS MILLS RD",
            "city": "LYMAN",
            "state": "ME",
            "postal_code": "040027524",
            "telephone_number": "207-499-2362",
            "fax_number": "207-499-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWINS MILLS FIRE-RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "HOOPER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "207-499-2362"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "0297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyman, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.