Organization Active NPI

Unity Volunteer Ambulance Corp.

  • Land Ambulance
  • Unity, ME
National Provider Identifier
1457435257
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
705 Issued in ME
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
104100000MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

NPI 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.

Verify at the official NPI Registry.