Active NPI
Sacopee Rescue Unit Inc
- Land Ambulance
- Hiram, ME
National Provider Identifier
1730125824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 600
- Legal business name
- SACOPEE RESCUE UNIT INC
- Practice address
- 1 Allard Circle
Hiram, ME 04041-9999 - Phone
- (207) 625-3088
- NPI assigned
- Jun 20, 2006
- Last updated
- Mar 7, 2012
- 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
- Lorie Elgerly
- Title
- Rescue Chief
- Phone
- (207) 625-3088
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 600 | ME | Primary |
Addresses
Primary practice location
1 Allard Circle
Hiram, ME 04041-9999
Mailing address
PO Box 1810
Windham, ME 04062-1810
Phone (207) 892-0020
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040684 | Other | ME | BLUE CROSS |
| 590014055 | Other | ME | RAILROAD MEDICARE |
| 107860000 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120511000409 | ME | Part B Supplier - Ambulance Service Supplier | 3375706294 | Practice locations: Hiram, ME |
National Provider Directory
National Provider DirectoryLocations
1 Allard Cir
Hiram, ME 04041
Phone (207) 625-3088
1 Allard Cir
Hiram, ME 04041
Phone (207) 625-3088
24 Nasons Way
Hiram, ME 04041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331078400000",
"number": "1730125824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO 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": "1 ALLARD CIRCLE",
"city": "HIRAM",
"state": "ME",
"postal_code": "040419999",
"telephone_number": "207-625-3088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SACOPEE RESCUE UNIT INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-20",
"last_updated": "2012-03-07",
"status": "A",
"authorized_official_last_name": "ELGERLY",
"authorized_official_first_name": "LORIE",
"authorized_official_title_or_position": "RESCUE CHIEF",
"authorized_official_telephone_number": "207-625-3088"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "ME",
"license": "600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "040684",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590014055",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107860000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hiram, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.