Town of Kennebunk

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0390 Issued in ME

Legal business name

TOWN OF KENNEBUNK

Practice address

1 Summer St
Kennebunk, ME 04043-6641

Phone

(207) 985-2102

NPI assigned

Nov 23, 2005

Last updated

Aug 30, 2022By 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

Justin Cooper

Title

Chief

Phone

(207) 604-1358

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1780667600",
    "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 SUMMER ST",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436641",
            "telephone_number": "207-985-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF KENNEBUNK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "207-604-1358"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "0390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "014819",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590008496",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136750000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Jean-Baldi Tito, NP
• Lauren Toma, LPC, LCPC, AT-R
• Marina Tomlinson, LCPC-C
• Alexander Michael Tooher, DMD
• Tamarra Jaye Towle, COTA/L
• Karlie Jordan Trefethen, OT
• Tricia Ledoux Counseling LLC
• Alison Southerland Truman
• Tali Twomey
• Gunner Vallatini, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.