Active NPI
Town of Island Falls
- Paramedic
- Island Falls, ME
National Provider Identifier
1477577039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- 388
- Legal business name
- TOWN OF ISLAND FALLS
- Practice address
- 61 Houlton Street
Island Falls, ME 04747 - Phone
- (207) 463-2246
- Fax
- (207) 463-2550
- NPI assigned
- Jul 27, 2006
- Organization subpart
- Yes
- Parent organization
- TOWN OF ISLAND FALLS MAINE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Cheryl Lynn McNally
- Title
- Town Clerk
- Phone
- (207) 463-2246
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 388 | ME | Primary |
| Land Ambulance | 3416L0300X | 388 | ME |
Addresses
Primary practice location
61 Houlton Street
Island Falls, ME 04747
Mailing address
PO Box 100
Island Falls, ME 04747-0100
Phone (207) 463-2246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136690000 | Medicaid | ME |
Other names 1
- Island Falls Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111201000261 | ME | Part B Supplier - Ambulance Service Supplier | 1456525419 | Practice locations: Island Falls, ME |
National Provider Directory
National Provider Directory- Part of
- Town Office
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216684800000",
"number": "1477577039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100",
"city": "ISLAND FALLS",
"state": "ME",
"postal_code": "047470100",
"telephone_number": "207-463-2246",
"fax_number": "207-463-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 HOULTON STREET",
"city": "ISLAND FALLS",
"state": "ME",
"postal_code": "04747",
"telephone_number": "207-463-2246",
"fax_number": "207-463-2550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF ISLAND FALLS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TOWN OF ISLAND FALLS MAINE",
"enumeration_date": "2006-07-27",
"last_updated": "2008-07-22",
"status": "A",
"authorized_official_last_name": "MCNALLY",
"authorized_official_first_name": "CHERYL",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "TOWN CLERK",
"authorized_official_telephone_number": "207-463-2246",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Paramedic",
"state": "ME",
"license": "388",
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "ME",
"license": "388",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136690000",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Island Falls Ambulance Service",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Island Falls, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.