Active NPI
Unity Volunteer Ambulance Corp.
- Land Ambulance
- Unity, ME
National Provider Identifier
1457435257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 705
- Legal business name
- UNITY VOLUNTEER AMBULANCE CORP.
- Practice address
- 347 School St.
Unity, ME 04988-0024 - Phone
- (207) 948-2526
- NPI assigned
- Oct 25, 2006
- Last updated
- Oct 22, 2021
- 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
- Mr. Bruce W Cook, EMTA
- Title
- Chief of Service
- Phone
- (207) 948-6391
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | 705 | ME | Primary |
Addresses
Primary practice location
347 School St.
Unity, ME 04988-0024
Mailing address
PO Box 24
Unity, ME 04988-0024
Phone (800) 488-4351
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104100000 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120117000052 | ME | Part B Supplier - Ambulance Service Supplier | 3375710312 | Practice locations: Unity, ME |
| O20210316001113 | ME | Part B Supplier - Mass Immunization (Roster Biller Only) | 3375710312 | Practice locations: Unity, ME |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634860800000",
"number": "1457435257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24",
"city": "UNITY",
"state": "ME",
"postal_code": "049880024",
"telephone_number": "800-488-4351",
"fax_number": "978-356-2721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 SCHOOL ST.",
"city": "UNITY",
"state": "ME",
"postal_code": "049880024",
"telephone_number": "207-948-2526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITY VOLUNTEER AMBULANCE CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2021-10-22",
"certification_date": "2021-10-22",
"status": "A",
"authorized_official_last_name": "COOK",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "CHIEF OF SERVICE",
"authorized_official_telephone_number": "207-948-6391",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "EMTA"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "ME",
"license": "705",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104100000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Unity, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.