Town of Freeport

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

270 Issued in ME

Legal business name

TOWN OF FREEPORT

Practice address

4 Main St
Freeport, ME 04032-1113

Phone

(207) 865-3421

Fax

(207) 865-2858

NPI assigned

May 16, 2007

Organization subpart

Yes

Parent organization

TOWN OF FREEPORTAs reported in NPPES

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

Authorized official

Name

Mr. Robert Edward Bernard Jr.

Title

Chief

Phone

(207) 865-3421

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Freeport Fire Rescue Other name

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Part of

Town of Freeport

Locations

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1871709535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MAIN ST",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040321113",
            "telephone_number": "207-865-3421",
            "fax_number": "207-865-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MAIN ST",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040321113",
            "telephone_number": "207-865-3421",
            "fax_number": "207-865-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF FREEPORT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWN OF FREEPORT",
        "enumeration_date": "2007-05-16",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "207-865-3421",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590012201",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136550100",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freeport Fire Rescue",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chelsea L Taylor, LMT
• Danielle Marie Thiele, PHARMD
• Caroline E Thorne-Lyman, MED, MSW, LCSW
• Sara Elisabeth Tierce-Hazard, AGPCNP-BC, PHMNP-BC
• Kazutoshi Toita, P.T.
• Beverly M Towne, MD
• Jay Morris Ungar, MD
• Elena Bell Wagner, PNP
• Elizabeth E Walker, MA
• Meredith Wall, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.