Organization Active NPI

Town of Lee

  • Land Ambulance
  • Lee, ME
National Provider Identifier
1639858814
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWN OF LEE
Practice address
2794 Lee Road
Lee, ME 04455
Phone
(207) 738-3473
NPI assigned
Jul 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Authorized official

Name
Jay Crocker
Title
Ceo & Chief
Phone
(207) 738-3473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

2794 Lee Road
Lee, ME 04455

Mailing address

7 Slipper RDG
Lee, ME 04455-4528
Phone (207) 738-3473

Other names 1

  • Lee Fire Rescue Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230913002732 ME Part B Supplier - Ambulance Service Supplier 3779947437 Practice locations: Lee, ME

National Provider Directory

National Provider Directory

Locations

29 Winn Rd
Lee, ME 04455

NPI Registry JSON

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1639858814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SLIPPER RDG",
            "city": "LEE",
            "state": "ME",
            "postal_code": "044554528",
            "telephone_number": "207-738-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2794 LEE ROAD",
            "city": "LEE",
            "state": "ME",
            "postal_code": "04455",
            "telephone_number": "207-738-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF LEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "CROCKER",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO & CHIEF",
        "authorized_official_telephone_number": "207-738-3473"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lee Fire Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lee, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.