Town of East Millinocket
Organization Active NPI Land Ambulance · East Millinocket, ME
NPI 1770522658 · NPPES record last updated Apr 2, 2024
Key facts
- NPI
- 1770522658
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- TOWN OF EAST MILLINOCKET
- Practice address
- 125 Main St
East Millinocket, ME 04430-1047 - Phone
- (207) 746-3562
- Fax
- (207) 746-3564
- NPI assigned
- Jun 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Kevin McAdam
- Title
- Chief
- Phone
- (207) 746-3562
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100319000172 | ME | Part B Supplier - Ambulance Service Supplier | 1850426503 | Practice locations: East Millinocket, ME |
National Provider Directory
Locations
53 Main St
East Millinocket, ME 04430
Phone (207) 746-3551
125 Main St
East Millinocket, ME 04430
Phone (207) 223-5733
1 Adams St
Lincoln, ME 04457
Phone (207) 794-2610
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
125 Main St
East Millinocket, ME 04430-1047
Mailing address
53 Main St
East Millinocket, ME 04430-1126
Phone (207) 746-3562
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136480000 | Medicaid | ME |
Other names
- East Millinocket Fire Department
Other providers in East Millinocket, ME
- Millinocket School Department
- Millinocket School Department
- Mathew Shankweiler
- Neal Edward Surrette
- Sweet Seniors
- Joshua Valentine
- Woodville School Department
All providers in East Millinocket, ME · Land Ambulance in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.