Active NPI
Town of Limerick
Doing business as Limerick Fire EMS
- Ambulance
- Limerick, ME
National Provider Identifier
1689776940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 0418
- Legal business name
- TOWN OF LIMERICK
- Doing business as
- Limerick Fire EMS
- Practice address
- 24 School St
Limerick, ME 04048 - Phone
- (207) 793-2687
- Fax
- (207) 793-3468
- NPI assigned
- Sep 5, 2006
- Last updated
- Feb 10, 2016
- 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
- Peter Proctor
- Title
- Chief
- Phone
- (207) 793-2687
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 31150 | ME | |
| Ambulance | 341600000X | 0418 | ME | Primary |
Addresses
Primary practice location
24 School St
Limerick, ME 04048
Mailing address
P.O. Box 1810
Windham, ME 04062-1810
Phone (207) 892-0020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136770000 | Medicaid | ME |
Other names 1
- Limerick Fire EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120312000815 | ME | Part B Supplier - Ambulance Service Supplier | 0648439588 | Practice locations: Limerick, ME |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D1066764 | Limerick Fire EMS Dept | Certificate of waiver | Apr 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
23 School St
Limerick, ME 04048
24 School St
Limerick, ME 04048
Phone (207) 793-2687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455062400000",
"number": "1689776940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1810",
"city": "WINDHAM",
"state": "ME",
"postal_code": "040621810",
"telephone_number": "207-892-0020",
"fax_number": "207-893-0583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 SCHOOL ST",
"city": "LIMERICK",
"state": "ME",
"postal_code": "04048",
"telephone_number": "207-793-2687",
"fax_number": "207-793-3468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF LIMERICK",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-05",
"last_updated": "2016-02-10",
"status": "A",
"authorized_official_last_name": "PROCTOR",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "207-793-2687"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "ME",
"license": "31150",
"primary": false
},
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "ME",
"license": "0418",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136770000",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Limerick Fire EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Limerick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.