NPIMap

Organization Active NPI

Penobscot Bay Medical Equipment & Supplies, Inc.

Doing business as Penobscot Bay Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Camden, ME
National Provider Identifier
1467565564
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
NOT REQUIRED Issued in ME
Legal business name
PENOBSCOT BAY MEDICAL EQUIPMENT & SUPPLIES, INC.
Doing business as
Penobscot Bay Medical Supply
Practice address
14 Mill St
Camden, ME 04843-1510
Phone
(207) 236-3006
Fax
(207) 236-1018
NPI assigned
Aug 16, 2006
Last updated
Sep 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Authorized official

Name
Mr. Spencer Knowlton, CEONPI 1649383704
Title
Ceo/Owner
Phone
(207) 236-3006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NOT REQUIRED ME Primary

Addresses

Primary practice location

14 Mill St
Camden, ME 04843-1510

Mailing address

PO Box 951
Camden, ME 04843-0951
Phone (207) 236-3006

Other identifiers 1

IdentifierTypeStateIssuer
115310000MedicaidME

Other names 1

  • PENOBSCOT BAY MEDICAL SUPPLY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1467565564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048430951",
            "telephone_number": "207-236-3006",
            "fax_number": "207-236-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MILL ST",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048431510",
            "telephone_number": "207-236-3006",
            "fax_number": "207-236-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENOBSCOT BAY MEDICAL EQUIPMENT & SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "KNOWLTON",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "207-236-3006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ME",
            "license": "NOT REQUIRED",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115310000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PENOBSCOT BAY MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camden, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.