Town of Standish

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

670 Issued in ME

Legal business name

TOWN OF STANDISH

Practice address

175 Northeast Rd
Standish, ME 04084-6470

Phone

(207) 642-8821

Fax

(207) 642-8213

NPI assigned

Jul 21, 2005

Organization subpart

No

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

Authorized official

Name

Brent J Libby

Title

Chief Fire/ EMS

Phone

(207) 892-0020

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• DBA Standish EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1366441263",
    "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": "04062",
            "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": "175 NORTHEAST RD",
            "city": "STANDISH",
            "state": "ME",
            "postal_code": "040846470",
            "telephone_number": "207-642-8821",
            "fax_number": "207-642-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF STANDISH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "LIBBY",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FIRE/ EMS",
        "authorized_official_telephone_number": "207-892-0020"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132720000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "024997",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Standish EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Standish Family Practice
• Rachel Stearns
• Fernanda Steed, FNP
• Kristen Hope Terwilliger
• Alyssa Nicole Thomas, DO
• Alli Elizabeth Tulley
• Alexis R Welch
• Lyndsay Wood, L.D.
• Michael Warren Wood, PA-C
• Piper Yerger

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.