Organization Active NPI

Casco Bay Ambulance Service Inc

  • Land Ambulance
  • South Portland, ME
National Provider Identifier
1255036844
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CASCO BAY AMBULANCE SERVICE INC
Practice address
149 Front St
South Portland, ME 04106-1509
Phone
(207) 939-0081
NPI assigned
Apr 3, 2023
Last updated
Apr 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Rebecca Royer
Title
Treasurer
Phone
(207) 939-0081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

149 Front St
South Portland, ME 04106-1509

Mailing address

PO Box 1926
Windham, ME 04062-1926
Phone (207) 939-0081

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230620002949 ME Part B Supplier - Ambulance Service Supplier 7517325798 Practice locations: Portland, ME

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D2281509Casco Bay Ambulance Service, Inc149 Front Street, South Portland, ME 04106Certificate of waiverMay 8, 2027

National Provider Directory

National Provider Directory

Locations

429 Warren Ave
Unit 9
Portland, ME 04103
Phone (207) 252-9091

149 Front St
South Portland, ME 04106
Phone (207) 939-0081

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1255036844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1926",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040621926",
            "telephone_number": "207-939-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 FRONT ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061509",
            "telephone_number": "207-939-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCO BAY AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "ROYER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "207-939-0081"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.