Brooks Ambulance Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0380 Issued in ME

Legal business name

BROOKS AMBULANCE INC.

Practice address

55 Reynolds Rd
Brooks, ME 04921-3637

Phone

(207) 722-3488

NPI assigned

Mar 8, 2018

Organization subpart

No

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

Authorized official

Name

Keith Lloyd Nealley

Title

Captain

Phone

(207) 322-2124

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1700388477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "BROOKS",
            "state": "ME",
            "postal_code": "049210066",
            "telephone_number": "207-322-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 REYNOLDS RD",
            "city": "BROOKS",
            "state": "ME",
            "postal_code": "049213637",
            "telephone_number": "207-722-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS AMBULANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "NEALLEY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "207-322-2124"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "0380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Alonso Carin, MD
• Ronald E. Cormier, FNP
• Angela Holmes, MSW
• Angela M Lyford, LCSW
• Mainehealth

• Land Ambulance in Brooks, ME
• Providers in Brooks, ME by specialty
• Land Ambulance in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.

Verify at the official NPI Registry.