Active NPI
Town of Wiscasset
- Ambulance
- Wiscasset, ME
National Provider Identifier
1356318521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 0771
- Legal business name
- TOWN OF WISCASSET
- Practice address
- 51 Bath Rd
Wiscasset, ME 04578 - Phone
- (207) 882-8204
- Fax
- (207) 223-5743
- NPI assigned
- Mar 7, 2006
- 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
- Toby Martin
- Title
- Chief
- Phone
- (207) 882-8204
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Ambulance | 341600000X | 0771 | ME | Primary |
| Land Ambulance | 3416L0300X | 0771 | ME |
Addresses
Primary practice location
51 Bath Rd
Wiscasset, ME 04578
Mailing address
PO Box 1810
Windham, ME 04062-1810
Phone (207) 892-0020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137540000 | Other | ME | MAINE CARE |
Other names 1
- Wiscasset Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050622001207 | ME | Part B Supplier - Ambulance Service Supplier | 2163467903 | Practice locations: Wiscasset, 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 |
|---|---|---|---|
| 20D2124313 | Wiscasset Ambulance Service | Certificate of waiver | Jan 12, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Town of Wiscasset
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Wiscasset, ME
- NPI 1609094192
Locations
51 Bath Rd
Wiscasset, ME 04578
Phone (207) 882-8204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466553600000",
"number": "1356318521",
"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": "51 BATH RD",
"city": "WISCASSET",
"state": "ME",
"postal_code": "04578",
"telephone_number": "207-882-8204",
"fax_number": "207-223-5743"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF WISCASSET",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-07",
"last_updated": "2016-06-22",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "TOBY",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "207-882-8204"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": false
},
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "ME",
"license": "0771",
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "ME",
"license": "0771",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINE CARE",
"identifier": "137540000",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wiscasset Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wiscasset, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.