Active NPI
York Ambulance Association, Inc.
Doing business as York Ambulance Association
- Land Ambulance
- York, ME
National Provider Identifier
1265498224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- YORK AMBULANCE ASSOCIATION, INC.
- Doing business as
- York Ambulance Association
- Practice address
- 15 Salisbury Ave
York, ME 03909-9999 - Phone
- (207) 363-4403
- NPI assigned
- Apr 26, 2006
- Last updated
- Jun 16, 2026
- 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
- Armen Derderian
- Title
- Treasurer
- Phone
- (207) 363-4403
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
15 Salisbury Ave
York, ME 03909-9999
Mailing address
PO Box 1810
Windham, ME 04062-1810
Phone (207) 892-0020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167940000 | Medicaid | ME |
Other names 1
- YORK AMBULANCE ASSOCIATION
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061116000030 | ME | Part B Supplier - Ambulance Service Supplier | 3375541923 | Practice locations: York, 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 |
|---|---|---|---|
| 20D2115601 | York Ambulance Association, Inc | Certificate of waiver | Jul 10, 2026 |
National Provider Directory
National Provider DirectoryLocations
1 Summer St
Kennebunk, ME 04043
Phone (207) 604-1358
15 Salisbury Ave
York, ME 03909
Phone (207) 363-4403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781568000000",
"number": "1265498224",
"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": "15 SALISBURY AVE",
"city": "YORK",
"state": "ME",
"postal_code": "039099999",
"telephone_number": "207-363-4403"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YORK AMBULANCE ASSOCIATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-26",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A",
"authorized_official_last_name": "DERDERIAN",
"authorized_official_first_name": "ARMEN",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "207-363-4403"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167940000",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "YORK AMBULANCE ASSOCIATION",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in York, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.