Organization Active NPI

Sacopee Rescue Unit Inc

  • Land Ambulance
  • Hiram, ME
National Provider Identifier
1730125824
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
600 Issued in ME
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
040684OtherMEBLUE CROSS
590014055OtherMERAILROAD MEDICARE
107860000MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120511000409 ME Part B Supplier - Ambulance Service Supplier 3375706294 Practice locations: Hiram, ME

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.