Organization Active NPI

Central Aroostook County Emergency Medical Service Authority

Doing business as Central Aroostook Ambulance Service

  • Land Ambulance
  • Blaine, ME
National Provider Identifier
1689295867
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CENTRAL AROOSTOOK COUNTY EMERGENCY MEDICAL SERVICE AUTHORITY
Doing business as
Central Aroostook Ambulance Service
Practice address
150 Military Rd
Blaine, ME 04734-4314
Phone
(207) 540-6464
NPI assigned
Apr 29, 2020
Last updated
Jun 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Authorized official

Name
Mr. Lee Farley
Title
Ambulance Manager
Phone
(207) 540-6464

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

150 Military Rd
Blaine, ME 04734-4314

Mailing address

PO Box 1820
Presque Isle, ME 04769-1820
Phone (207) 764-7529

Other practice location 1

15 Highland Ave
Mars Hill, ME 04758-3133
Phone (207) 540-6464

Other names 1

  • Central Aroostook Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200602001754 ME Part B Supplier - Ambulance Service Supplier 5496176331 Practice locations: Blaine, ME

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1689295867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1820",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047691820",
            "telephone_number": "207-764-7529",
            "fax_number": "207-764-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MILITARY RD",
            "city": "BLAINE",
            "state": "ME",
            "postal_code": "047344314",
            "telephone_number": "207-540-6464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Mars Hill",
            "state": "ME",
            "postal_code": "047583133",
            "country_code": "US",
            "telephone_number": "207-540-6464",
            "fax_number": "207-764-6504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL AROOSTOOK COUNTY EMERGENCY MEDICAL SERVICE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "AMBULANCE MANAGER",
        "authorized_official_telephone_number": "207-540-6464",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Aroostook Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blaine, ME

Sources for this page

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