Fryeburg Rescue Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

280 Issued in ME

Legal business name

FRYEBURG RESCUE ASSOCIATION

Practice address

89 Bridgton Rd
Fryeburg, ME 04037

Phone

(207) 935-3024

NPI assigned

Nov 19, 2010

Organization subpart

No

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

Authorized official

Name

Stephen Goldsmith

Title

Chief

Phone

(207) 935-3024

Specialties & licenses 1

Addresses

Other names 1

• Fryeburg Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1275835563",
    "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": "89 BRIDGTON RD",
            "city": "FRYEBURG",
            "state": "ME",
            "postal_code": "04037",
            "telephone_number": "207-935-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRYEBURG RESCUE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "GOLDSMITH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "207-935-3024"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fryeburg Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fryeburg Academy
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• Fryeburg Health Care Center
• Fryeburg Health Care Center, Inc.
• Stevi Gelinas, NH CANDIDATE
• Joshua Glidden, DPT
• Nina Grenfell, LMT
• Marisa Hikel, LMT
• Jennifer Irish

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.