Town of Windham

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

760 Issued in ME

Legal business name

TOWN OF WINDHAM

Practice address

375 Gray Rd
Windham, ME 04062-4248

Phone

(207) 892-6751

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Charles H Hammond

Title

Chief

Phone

(207) 892-1911

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Town of Windham Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1790719706",
    "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": "375 GRAY RD",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040624248",
            "telephone_number": "207-892-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF WINDHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "207-892-1911",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137480000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590008834",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "012184",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town of Windham Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Tena Group, LLC
• Matthew John Thibault, LCSW
• Sanchu Thomas, PHARMD
• Amanda Mae Thomes, LMT
• Nolan M Thompson, LCSW
• Reine E. Tracy
• Sara L Treat, LCPC
• Anna-Maria Tripp, LCSW
• True North Nutrition & Wellness PLLC
• Trusted Care LLC

• Land Ambulance in Windham, ME
• Providers in Windham, 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 5, 2011; 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.