Organization Active NPI

Town of Ashland

Doing business as Ashland Ambulance Service

  • Land Ambulance
  • Ashland, ME
National Provider Identifier
1356472930
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
#40 Issued in ME
Legal business name
TOWN OF ASHLAND
Doing business as
Ashland Ambulance Service
Practice address
17 Bridgham St.
Ashland, ME 04732-0910
Phone
(207) 435-6323
Fax
(207) 435-2005
NPI assigned
Mar 8, 2007
Last updated
Jun 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Tara Peterson
Title
Director
Phone
(207) 435-6323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X #40 ME Primary

Addresses

Primary practice location

17 Bridgham St.
Ashland, ME 04732-0910

Mailing address

PO Box 910
17 Bridgham St.
Ashland, ME 04732-0910
Phone (207) 435-6323

Other identifiers 3

IdentifierTypeStateIssuer
136150000MedicaidME
A0510OtherMEANTHEM PROVIDER ID #
004692OtherMEANTHEM STAR CONTRACT ID #

Other names 1

  • Ashland Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070712000599 ME Part B Supplier - Ambulance Service Supplier 1355441825 Practice locations: Ashland, 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
20D1071660Ashland Ambulance Service17 Bridgham Street PO Box 910, Ashland, ME 04732Certificate of waiverJul 29, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1356472930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "address_2": "17 BRIDGHAM ST.",
            "city": "ASHLAND",
            "state": "ME",
            "postal_code": "047320910",
            "telephone_number": "207-435-6323",
            "fax_number": "207-435-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 BRIDGHAM ST.",
            "city": "ASHLAND",
            "state": "ME",
            "postal_code": "047320910",
            "telephone_number": "207-435-6323",
            "fax_number": "207-435-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF ASHLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "207-435-6323"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "#40",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136150000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID #",
            "identifier": "A0510",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM STAR CONTRACT ID #",
            "identifier": "004692",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashland Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.