Organization Active NPI

Nmofs Ambulatory Surgical Center PC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Presque Isle, ME
National Provider Identifier
1881983096
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
37371 Issued in ME
Legal business name
NMOFS AMBULATORY SURGICAL CENTER PC
Practice address
181 Academy St
Ste 2
Presque Isle, ME 04769-3178
Phone
(207) 764-6337
Fax
(207) 764-1446
NPI assigned
Mar 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Debbie L Rooney
Title
Office Manager
Phone
(207) 764-6337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 37371 ME Primary

Addresses

Primary practice location

181 Academy St
Ste 2
Presque Isle, ME 04769-3178

Mailing address

181 Academy St
Ste 2
Presque Isle, ME 04769-3178
Phone (207) 764-6337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160909001603 ME Part B Supplier - Ambulatory Surgical Center 7719273234 Receives reassigned benefits from 1 practitioner
Practice locations: Presque Isle, ME

Ambulatory surgical center certification: CCN 20C0001015

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
NMOFS AMBULATORY SURGICAL CENTER PC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Feb 13, 2001
Last certification
Nov 5, 2019
Ownership / control type
Proprietary
Facility address
181 Academy Street, Suite 2
Presque Isle, ME 04769

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1881983096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 ACADEMY ST",
            "address_2": "STE 2",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693178",
            "telephone_number": "207-764-6337",
            "fax_number": "207-764-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 ACADEMY ST",
            "address_2": "STE 2",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693178",
            "telephone_number": "207-764-6337",
            "fax_number": "207-764-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NMOFS AMBULATORY SURGICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "ROONEY",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "207-764-6337"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "ME",
            "license": "37371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Presque Isle, ME

Sources for this page

Verify at the official NPI Registry.