Organization Active NPI

Town of Dayton

Doing business as Goodwins Mills Fire-Rescue

  • Land Ambulance
  • Lyman, ME
National Provider Identifier
1659983591
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWN OF DAYTON
Doing business as
Goodwins Mills Fire-Rescue
Practice address
481 Goodwins Mills Rd
Lyman, ME 04002
Phone
(207) 892-0020
NPI assigned
Aug 21, 2020
Last updated
Aug 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Authorized official

Name
Mathiew John Duross, FIRE CHIEF
Title
Fire Chief
Phone
(207) 499-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

481 Goodwins Mills Rd
Lyman, ME 04002

Mailing address

481 Goodwins Mills Rd
Lyman, ME 04002-7524
Phone (207) 499-2362

Other names 1

  • Goodwins Mills 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
O20200908003056 ME Part B Supplier - Ambulance Service Supplier 5991123945 Practice locations: Lyman, ME

National Provider Directory

National Provider Directory
Tax ID family
Town of Dayton3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

33 Clarks Mills Rd
Dayton, ME 04005

481 Goodwins Mills Rd
Lyman, ME 04002
Phone (207) 499-2362

NPI Registry JSON

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1659983591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 GOODWINS MILLS RD",
            "city": "LYMAN",
            "state": "ME",
            "postal_code": "040027524",
            "telephone_number": "207-499-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 GOODWINS MILLS RD",
            "city": "LYMAN",
            "state": "ME",
            "postal_code": "04002",
            "telephone_number": "207-892-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF DAYTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "DUROSS",
        "authorized_official_first_name": "MATHIEW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "207-499-7878",
        "authorized_official_credential": "FIRE CHIEF"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodwins Mills Fire-Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lyman, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.