City of Ellsworth – Land Ambulance in Ellsworth, ME

Key facts

NPI: 1356563514
Entity type: Organization (NPI type 2)
Primary specialty: Land Ambulance 3416L0300X
Legal business name: CITY OF ELLSWORTH
Practice address: 1 City Hall PLZ
Ellsworth, ME 04605-1942
Phone: (207) 667-8666
Fax: (207) 667-4902
NPI assigned: May 3, 2007
Organization subpart: No

Authorized official

Name: Scott 2078120784 Guillerault
Title: Fire Chief
Phone: (207) 667-8666

Corporate family (same tax ID) 1

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

City of Ellsworth Local Education Agency (LEA) · Ellsworth, ME · NPI 1508782848

NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Elizabeth Anne Duncombe, LCSW Clinical Social Worker · Deer Isle, ME · NPI 1841437340

NPD (past)

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
20D2238569	Ellsworth Fire Department 1 City Hall Plaza, Ellsworth, ME 04605	Certificate of waiver	Oct 4, 2027

Medicare participation

Medicare fee-for-service enrollment: Enrolled in ME

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20250425000931	ME	Part B Supplier - Ambulance Service Supplier	6002332723	Practice locations: Ellsworth, ME

National Provider Directory

Tax ID family: City of Ellsworth (2 organizations share this tax ID)

Locations

1 City Hall Plz
Ellsworth, ME 04605
Phone (207) 667-8666

248 State St
Ste 11A
Ellsworth, ME 04605

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Land Ambulance	3416L0300X			Yes

Addresses

Primary practice location

1 City Hall PLZ
Ellsworth, ME 04605-1942

Mailing address

1 City Hall PLZ
Ellsworth, ME 04605-1942
Phone (207) 667-8666

Other names

Ellsworth Fire Department Doing business as
Ellsworth School Department Doing business as

Other providers in Ellsworth, ME

All providers in Ellsworth, ME · Land Ambulance in Maine

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.