Active NPI
Town of Mount Desert
- Land Ambulance
- Northeast Harbor, ME
National Provider Identifier
1710647490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- TOWN OF MOUNT DESERT
- Practice address
- 21 Sea Street
Northeast Harbor, ME 04662 - Phone
- (207) 276-5111
- Fax
- (207) 801-5851
- NPI assigned
- Dec 22, 2021
- Last updated
- Dec 22, 2021
- Organization subpart
- Yes
- Parent organization
- TOWN OF MOUNT DESERT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Bender
- Title
- Fire Chief
- Phone
- (207) 276-5111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
21 Sea Street
Northeast Harbor, ME 04662
Mailing address
PO Box 248
Northeast Harbor, ME 04662-0248
Phone (207) 276-5111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220916000904 | ME | Part B Supplier - Ambulance Service Supplier | 8123403847 | Practice locations: Mt Desert, ME; Northeast Harbor, ME |
National Provider Directory
National Provider Directory- Tax ID family
- Town of Mount Desert
- Part of
- Town of Mount Desert
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Mt. Desert School Department
- Local Education Agency (LEA)
- Mount Desert, ME
- NPI 1083821144
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Mt. Desert School Department
- Local Education Agency (LEA)
- Mount Desert, ME
- NPI 1083821144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640131200000",
"number": "1710647490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 248",
"city": "NORTHEAST HARBOR",
"state": "ME",
"postal_code": "046620248",
"telephone_number": "207-276-5111",
"fax_number": "207-801-5851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 SEA STREET",
"city": "NORTHEAST HARBOR",
"state": "ME",
"postal_code": "04662",
"telephone_number": "207-276-5111",
"fax_number": "207-801-5851"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF MOUNT DESERT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TOWN OF MOUNT DESERT",
"enumeration_date": "2021-12-22",
"last_updated": "2021-12-22",
"certification_date": "2021-12-21",
"status": "A",
"authorized_official_last_name": "BENDER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "207-276-5111"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northeast Harbor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.