Organization Active NPI

Town of Medway

Doing business as Medway Fire Department

  • Ambulance
  • Medway, ME
National Provider Identifier
1689297137
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
TOWN OF MEDWAY
Doing business as
Medway Fire Department
Practice address
23 Grindstone Road
Medway, ME 04460-3025
Phone
(207) 746-9618
Fax
(207) 746-5877
NPI assigned
May 19, 2020
Last updated
Sep 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Authorized official

Name
Aaron T Lee
Title
Fire Chief
Phone
(207) 746-9618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

23 Grindstone Road
Medway, ME 04460-3025

Mailing address

4 School St
Medway, ME 04460-3153
Phone (207) 746-9618

Other names 1

  • Medway Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200825001170 ME Part B Supplier - Ambulance Service Supplier 2365869146 Practice locations: Medway, ME

National Provider Directory

National Provider Directory
Tax ID family
Medway School Department2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

23 Grindstone Rd
Medway, ME 04460
Phone (207) 746-9618

4 School St
Medway, ME 04460

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1689297137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SCHOOL ST",
            "city": "MEDWAY",
            "state": "ME",
            "postal_code": "044603153",
            "telephone_number": "207-746-9618",
            "fax_number": "207-746-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 GRINDSTONE ROAD",
            "city": "MEDWAY",
            "state": "ME",
            "postal_code": "044603025",
            "telephone_number": "207-746-9618",
            "fax_number": "207-746-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF MEDWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "207-746-9618"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medway Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medway, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.