Town of Hollis
Organization Active NPI Land Ambulance · Hollis, ME
NPI 1629398581 · NPPES record last updated Jun 2, 2010
Key facts
- NPI
- 1629398581
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 1007 (ME)
- Legal business name
- TOWN OF HOLLIS
- Practice address
- 405 Plains Road
Hollis, ME 04042 - Phone
- (207) 727-3623
- Fax
- (207) 727-6145
- NPI assigned
- Jun 2, 2010
- Organization subpart
- No
Authorized official
- Name
- George Davis
- Title
- Chief
- Phone
- (207) 727-1885
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D2068893 | Hollis Fire-Rescue | Certificate of waiver | Nov 13, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101101000056 | ME | Part B Supplier - Ambulance Service Supplier | 4284828559 | Practice locations: Hollis, ME |
National Provider Directory
Locations
405 Plains Rd
Hollis Center, ME 04042
Phone (207) 727-3623
34 Town Farm Rd
Hollis Center, ME 04042
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1007 | ME | Yes |
Addresses
Primary practice location
405 Plains Road
Hollis, ME 04042
Mailing address
PO Box 1810
Windham, ME 04062-1810
Phone (207) 892-0020
Other names
- Hollis Fire-Rescue
Other providers in Hollis, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2010. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.