Town of Poland

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

543 Issued in ME

Legal business name

TOWN OF POLAND

Doing business as

Poland Fire Rescue

Practice address

1231 Maine St
Poland, ME 04274-7328

Phone

(207) 998-4689

NPI assigned

Apr 18, 2006

Last updated

Dec 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Bosse

Title

Chief of Service

Phone

(207) 998-4689

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Poland Fire Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Tax ID family

Poland Fire Rescue2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Poland School Department

  • Local Education Agency (LEA)
  • Poland, ME
  • NPI 1144439530
  NPD tax ID

Locations

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1265497937",
    "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": "04062",
            "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": "1231 MAINE ST",
            "city": "POLAND",
            "state": "ME",
            "postal_code": "042747328",
            "telephone_number": "207-998-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF POLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "BOSSE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF OF SERVICE",
        "authorized_official_telephone_number": "207-998-4689"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "015635",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137100000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poland Fire Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tender Touch Inc.
• Catherine Tetenman, CCC/SLP
• Stanley L. Tetenman, R.PH.
• Brent Todorich
• Tooth Fairies Inc
• Jessica N Weary, LCSW
• Julie A Wilson, NP

• Land Ambulance in Poland, ME
• Providers in Poland, ME by specialty
• Land Ambulance in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.