Town of Liberty

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

TOWN OF LIBERTY

Doing business as

Liberty Fire and Rescue

Practice address

187 W Main St
Liberty, ME 04949-0494

Phone

(207) 382-8260

NPI assigned

Jan 31, 2022

Last updated

Jan 31, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Earle P Albert

Title

Deputy Chief

Phone

(207) 382-8260

Specialties & licenses 2

Addresses

Other names 1

• Liberty Fire and Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1669125613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 174",
            "city": "LIBERTY",
            "state": "ME",
            "postal_code": "049490174",
            "telephone_number": "207-382-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 W MAIN ST",
            "city": "LIBERTY",
            "state": "ME",
            "postal_code": "049490494",
            "telephone_number": "207-382-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF LIBERTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "EARLE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DEPUTY CHIEF",
        "authorized_official_telephone_number": "207-382-8260"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Fire and Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Liberty Volunteer Ambulance Service
• Aaron Everett Mitschke, FNP
• Painted Horses LLC
• Valerie L Poulos, PA-C
• Julio Gonzalez Santana, CMA
• Waldo County General Hospital (Donald S. Walker Health Center)
• Donna Lynn Walsh, MS,RD
• Steven G Wilson, M.D.

• Ambulance in Liberty, ME
• Providers in Liberty, ME by specialty
• Ambulance in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.