Northeast Mobile Health Services

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0488 Issued in ME

Legal business name

NORTHEAST MOBILE HEALTH SERVICES

Practice address

12 1St St
Topsham, ME 04086-1334

Phone

(207) 721-9772

Fax

(207) 883-5566

NPI assigned

Jun 20, 2006

Last updated

Oct 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert E. Russell III

Title

Chief Operating Officer

Phone

(207) 510-0073

Specialties & licenses 2

Addresses

Other identifiers 2

Tax ID family

Northeast Mobile Health Services2 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.

• Northeast Mobile Health Services

  • Ambulance
  • Scarborough, ME
  • NPI 1558399295
  NPD tax ID

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1730125709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 ODLIN RD",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016703",
            "telephone_number": "207-510-0073",
            "fax_number": "207-885-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 1ST ST",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861334",
            "telephone_number": "207-721-9772",
            "fax_number": "207-883-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST MOBILE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "207-510-0073",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "486",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "0488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130610001",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130610003",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New England Fitness
• New Leaf Dental, PC
• Erika Newman, PHARM.D.
• Polly Sue Nichols, DDS
• Elizabeth Nieuwkerk, PHARMD, RPH
• Northern Sun Family Health Care
• Nourishing Soul Therapy, LLC
• Kathleen Irene O'Brien, P.A.-C
• Curtis Alfred Obery, D.M.D.
• Peter E Ogagan, PHARM. D

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.