Stoneham Rescue Service
Organization Active NPI Land Ambulance · Stoneham, ME
NPI 1619235686 · NPPES record last updated May 3, 2012
Key facts
- NPI
- 1619235686
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 0678 (ME)
- Legal business name
- STONEHAM RESCUE SERVICE
- Practice address
- 8 Butter Hill Road
Stoneham, ME 04231-0000 - Phone
- (207) 890-7481
- NPI assigned
- Apr 27, 2012
- Organization subpart
- No
Authorized official
- Name
- Mr. Fred Coffin
- Title
- Rescue Chief
- Phone
- (207) 890-7481
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120515000156 | ME | Part B Supplier - Ambulance Service Supplier | 8224291034 | Practice locations: Stoneham, ME |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0678 | ME | Yes |
Addresses
Primary practice location
8 Butter Hill Road
Stoneham, ME 04231-0000
Mailing address
PO Box 1810
Windham, ME 04062-1810
Phone (207) 892-0020
Other providers in Stoneham, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.