Active NPI
Casco Bay Ambulance Service Inc
- Land Ambulance
- South Portland, ME
National Provider Identifier
1255036844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2023
- 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
- Rebecca Royer
- Title
- Treasurer
- Phone
- (207) 939-0081
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230620002949 | ME | Part B Supplier - Ambulance Service Supplier | 7517325798 | Practice locations: Portland, ME |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D2281509 | Casco Bay Ambulance Service, Inc | Certificate of waiver | May 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.