Organization Active NPI

City of Bangor

  • Land Ambulance
  • Bangor, ME
National Provider Identifier
1346389087
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
50 Issued in ME
Legal business name
CITY OF BANGOR
Doing business as
Bangor Fire Department
Practice address
289 Main St
Bangor, ME 04401-6403
Phone
(207) 992-4700
Fax
(207) 942-8213
NPI assigned
Feb 6, 2007
Organization subpart
Yes
Parent organization
CITY OF BANGORAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Authorized official

Name
Thomas E Higgins
Title
Fire Chief
Phone
(207) 992-4701

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X 50 ME Primary

Addresses

Primary practice location

289 Main St
Bangor, ME 04401-6403

Mailing address

289 Main St
Bangor, ME 04401-6403
Phone (800) 488-4351

Other names 1

  • Bangor Fire Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110107000322 ME Part B Supplier - Ambulance Service Supplier 4284667080 Practice locations: Bangor, ME

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D1070477Bangor Fire Department289 Main Street, Bangor, ME 04401Certificate of waiverJun 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Bangor Fire Dept3 organizations share this tax ID, including this one
Part of
Bangor Fire Dept

Other organizations with this tax ID 2

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

Locations

289 Main St
Bangor, ME 04401
Phone (207) 992-4700

168 Hogan Rd
#5
Bangor, ME 04401
Phone (207) 992-4680

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1346389087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 MAIN ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016403",
            "telephone_number": "800-488-4351",
            "fax_number": "978-356-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 MAIN ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016403",
            "telephone_number": "207-992-4700",
            "fax_number": "207-942-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BANGOR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF BANGOR",
        "enumeration_date": "2007-02-06",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "207-992-4701"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "50",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bangor Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.