Active NPI
Central Aroostook County Emergency Medical Service Authority
Doing business as Central Aroostook Ambulance Service
- Land Ambulance
- Blaine, ME
National Provider Identifier
1689295867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200602001754 | ME | Part B Supplier - Ambulance Service Supplier | 5496176331 | Practice locations: Blaine, ME |
National Provider Directory
National Provider DirectoryNPI 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.