Active NPI
Moosabec Ambulance Service
- Ambulance
- Jonesport, ME
National Provider Identifier
1376661389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 385
- Legal business name
- MOOSABEC AMBULANCE SERVICE
- Practice address
- 140 Main St
Jonesport, ME 04649 - Phone
- (207) 497-2847
- Fax
- (207) 497-2847
- NPI assigned
- Mar 27, 2007
- 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
- Kelly J Stewart
- Title
- Office Manager
- Phone
- (207) 263-5391
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 385 | ME | Primary |
Addresses
Primary practice location
140 Main St
Jonesport, ME 04649
Mailing address
PO Box 164
Jonesport, ME 04649-0164
Phone (207) 263-5391
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135460000 | Medicaid | ME | |
| 041258 | Other | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110630000003 | ME | Part B Supplier - Ambulance Service Supplier | 7517145188 | Practice locations: Jonesport, ME |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768089600000",
"number": "1376661389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 164",
"city": "JONESPORT",
"state": "ME",
"postal_code": "046490164",
"telephone_number": "207-263-5391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 MAIN ST",
"city": "JONESPORT",
"state": "ME",
"postal_code": "04649",
"telephone_number": "207-497-2847",
"fax_number": "207-497-2847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOOSABEC AMBULANCE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2026-01-11",
"certification_date": "2026-01-11",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "207-263-5391"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "ME",
"license": "385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135460000",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "041258",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesport, ME
- Elizabeth Jane Daley, LCSW
- Down East Community Hospital
- Evergreen Assisted Living of Jonesport
- Islandview Residential Care Facility
- Jonesport-Beals Family Clinic
- Moosabec Community School District
- Sunrise Adult Family Home Care
- Sunrise Assisted Living LLC
- Town of Beals School Deptartment
- Town of Jonesport School Dept.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.