Town of Millinocket

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWN OF MILLINOCKET

Practice address

197 Penobscot Ave
Millinocket, ME 04462

Phone

(207) 723-7026

Fax

(207) 723-7002

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Peter Jamieson

Title

Town Manager

Phone

(207) 723-7000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ambulance Service Former legal business name

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Tax ID family

Millinocket School Department3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Millinocket School Department

  • Developmentally Disabled Services Day Training Agency
  • East Millinocket, ME
  • NPI 1386865509
  NPD tax ID
• Millinocket School Department

  • Local Education Agency (LEA)
  • East Millinocket, ME
  • NPI 1427279645
  NPD tax ID

Locations

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1285755843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 PENOBSCOT AVE",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "04462",
            "telephone_number": "207-447-4126",
            "fax_number": "207-723-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 PENOBSCOT AVE",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "04462",
            "telephone_number": "207-723-7026",
            "fax_number": "207-723-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF MILLINOCKET",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "JAMIESON",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "TOWN MANAGER",
        "authorized_official_telephone_number": "207-723-7000"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "004648",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136870000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambulance Service",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Ambulance Service",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ann Sutherland
• Katherine Tapley, RN
• Jessica Rose Taylor, CNP
• Ashley A Thibodeau, RN
• Patricia A Thibodeau, BSPT
• Patricia Twum-Antwi, RN
• Jeremy Reid Valentine, M.D.
• Yvonne Esidie Vughosi
• Walgreen Co
• Tori Lee Watts, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.