Town of Lebanon

Primary specialty

AmbulanceTaxonomy code 341600000X

License

401 Issued in ME

Legal business name

TOWN OF LEBANON

Doing business as

Lebanon Rescue

Practice address

323 Depot Rd
Lebanon, ME 04027-3345

Phone

(207) 457-9629

NPI assigned

Sep 20, 2006

Last updated

Oct 4, 2013By 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

Samantha Cole

Title

Chief

Phone

(207) 457-9629

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lebanon Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1558468827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TURCOTTE MEMORIAL DR",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019691706",
            "telephone_number": "207-457-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 DEPOT RD",
            "city": "LEBANON",
            "state": "ME",
            "postal_code": "040273345",
            "telephone_number": "207-457-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF LEBANON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "207-457-9629"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "ME",
            "license": "401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136760000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lebanon Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in Lebanon, ME
• Providers in Lebanon, ME by specialty
• Ambulance in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.