Town of Islesboro

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

370 Issued in ME

Legal business name

TOWN OF ISLESBORO

Practice address

150 Main Road
Islesboro, ME 04848

Phone

(207) 734-2253

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Janet Anderson

Title

Clerk

Phone

(207) 734-2253

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Town of Islesboro Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Town of Islesboro

  • Rural Health Clinic/Center
  • Islesboro, ME
  • NPI 1669525267

  7911155940

  Same PAC ID

Tax ID family

Islesboro Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Islesboro Central School

  • Local Education Agency (LEA)
  • Islesboro, ME
  • NPI 1467781492
  NPD tax ID

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1881715233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 76",
            "city": "ISLESBORO",
            "state": "ME",
            "postal_code": "048480076",
            "telephone_number": "207-734-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MAIN ROAD",
            "city": "ISLESBORO",
            "state": "ME",
            "postal_code": "04848",
            "telephone_number": "207-734-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF ISLESBORO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "CLERK",
        "authorized_official_telephone_number": "207-734-2253"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136700200",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town of Islesboro Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Edward Kerr, M.D.
• Edith Konesni, PA
• Elizabeth J O'Mara, FNP-BC
• The Beacon Project
• Town of Islesboro
• Dorie Anne Weir, FNP
• Alison Farnham Wood, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.