Active NPI
Goodwins Mills Fire-Rescue
- Land Ambulance
- Lyman, ME
National Provider Identifier
1235400342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0297
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120320000070 | ME | Part B Supplier - Ambulance Service Supplier | 3870753403 | Practice locations: Lyman, ME |
National Provider Directory
National Provider DirectoryNPI 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.