Town of Buckfield

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

113 Issued in ME

Legal business name

TOWN OF BUCKFIELD

Doing business as

Town of Buckfield Rescue

Practice address

34 Turner St
Buckfield, ME 04220

Phone

(207) 336-2521

Fax

(207) 336-3733

NPI assigned

Apr 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Glen Elwood Holmes

Title

Town Manager

Phone

(207) 336-2521

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Town of Buckfield Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508828369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1810",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "04062",
            "telephone_number": "207-892-0020",
            "fax_number": "207-893-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 TURNER ST",
            "city": "BUCKFIELD",
            "state": "ME",
            "postal_code": "04220",
            "telephone_number": "207-336-2521",
            "fax_number": "207-336-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF BUCKFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "ELWOOD",
        "authorized_official_title_or_position": "TOWN MANAGER",
        "authorized_official_telephone_number": "207-336-2521",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MAINE",
            "identifier": "048431",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town of Buckfield Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dennis Gammon
• Msad #39
• Peak Potential LLC
• Briana Marie Powell, RN
• Robert William St. Hilaire, DPT
• Karen Vasil-Busch, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.