Organization Active NPI

Town of South Thomaston

  • Ambulance
  • South Thomaston, ME
National Provider Identifier
1376763003
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
660 Issued in ME
Legal business name
TOWN OF SOUTH THOMASTON
Practice address
125 Spruce Head Road
South Thomaston, ME 04858
Phone
(800) 964-9200
NPI assigned
Apr 26, 2007
Last updated
Sep 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Richard Norman
Title
Service Chief
Phone
(800) 964-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 660 ME Primary

Addresses

Primary practice location

125 Spruce Head Road
South Thomaston, ME 04858

Mailing address

PO Box 147
South Thomaston, ME 04858-0147
Phone (800) 964-9200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070803000011 ME Part B Supplier - Ambulance Service Supplier 7113018292 Practice locations: South Thomaston, ME

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1376763003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "SOUTH THOMASTON",
            "state": "ME",
            "postal_code": "048580147",
            "telephone_number": "800-964-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SPRUCE HEAD ROAD",
            "city": "SOUTH THOMASTON",
            "state": "ME",
            "postal_code": "04858",
            "telephone_number": "800-964-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF SOUTH THOMASTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "SERVICE CHIEF",
        "authorized_official_telephone_number": "800-964-9200"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "ME",
            "license": "660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Thomaston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.

Verify at the official NPI Registry.