Organization Active NPI

Town of Waterboro Maine

  • Land Ambulance
  • Waterboro, ME
National Provider Identifier
1629099585
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
735 Issued in ME
Legal business name
TOWN OF WATERBORO MAINE
Doing business as
Town of Waterboro Rescue Billing
Practice address
6 John Smith Rd
Waterboro, ME 04087
Phone
(207) 247-5299
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Nancy J Brandt
Title
Town Administrator
Phone
(207) 247-6166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 735 ME Primary

Addresses

Primary practice location

6 John Smith Rd
Waterboro, ME 04087

Mailing address

PO Box 1810
Windham, ME 04062
Phone (207) 892-0020

Other identifiers 3

IdentifierTypeStateIssuer
590010669OtherMERAILROAD MEDICARE
120060000MedicaidME
025492OtherMEBLUE CROSS

Other names 1

  • Town of Waterboro Rescue Billing Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080428000130 ME Part B Supplier - Ambulance Service Supplier 0840384954 Practice locations: Waterboro, ME

National Provider Directory

National Provider Directory

Locations

24 Townhouse Rd
East Waterboro, ME 04030

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1629099585",
    "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": "6 JOHN SMITH RD",
            "city": "WATERBORO",
            "state": "ME",
            "postal_code": "04087",
            "telephone_number": "207-247-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF WATERBORO MAINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "BRANDT",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "TOWN ADMINISTRATOR",
        "authorized_official_telephone_number": "207-247-6166"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590010669",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120060000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "025492",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town of Waterboro Rescue Billing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterboro, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.