United Ambulance Bridgton

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

702 Issued in ME

Legal business name

UNITED AMBULANCE BRIDGTON

Practice address

32 Hospital Dr
Bridgton, ME 04009-1166

Phone

(207) 777-6006

Fax

(207) 777-6010

NPI assigned

Feb 16, 2018

Organization subpart

No

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

Authorized official

Name

Paul Gosselin

Title

Executive Director

Phone

(207) 777-6006

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1508366519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 RUSSELL ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 HOSPITAL DR",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040091166",
            "telephone_number": "207-777-6006",
            "fax_number": "207-777-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED AMBULANCE BRIDGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "GOSSELIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-777-6006"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Bridgton, ME
• Providers in Bridgton, ME by specialty
• Land Ambulance in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.