Active NPI
Nmofs Ambulatory Surgical Center PC
- Oral and Maxillofacial Surgery Clinic/Center
- Presque Isle, ME
National Provider Identifier
1881983096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery Clinic/Center
- License
- 37371
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Presque Isle, ME
- NPI 1609938406
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.