City of Ellsworth

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

CITY OF ELLSWORTH

Practice address

24 Lejok St
Ellsworth, ME 04605-4767

Phone

(207) 664-7100

NPI assigned

Jun 29, 2026

Organization subpart

No

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

Authorized official

Name

Amy Boles

Title

Superintendent of Schools

Phone

(207) 664-7100

Specialties & licenses 1

Addresses

Other names 1

• Ellsworth School Department Doing business as

Tax ID family

City of Ellsworth2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• City of Ellsworth

  • Land Ambulance
  • Ellsworth, ME
  • NPI 1356563514
  NPD tax ID

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1508782848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 AVERY LN",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046052531",
            "telephone_number": "207-664-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 LEJOK ST",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046054767",
            "telephone_number": "207-664-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Forrest Ave",
            "address_purpose": "LOCATION",
            "city": "Ellsworth",
            "state": "ME",
            "postal_code": "046051814",
            "country_code": "US",
            "telephone_number": "207-664-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Forrest Ave",
            "address_purpose": "LOCATION",
            "city": "Ellsworth",
            "state": "ME",
            "postal_code": "046051814",
            "country_code": "US",
            "telephone_number": "207-664-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CITY OF ELLSWORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "BOLES",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "SUPERINTENDENT OF SCHOOLS",
        "authorized_official_telephone_number": "207-664-7100"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellsworth School Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Chilgreen, PTA
• Traci Christensen-Johnson
• Kenneth G Christian, MD
• City of Ellsworth
• City of Ellsworth
• Jesse R Cloutier, PA
• Nicki Clukey
• Coastal Anesthesia, PA
• Coastal Eye Care, P.a.
• Coastal Eye Surgery Center, LLC

• All providers in Ellsworth, ME
• Local Education Agency (LEA) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.