NPIMap

Organization Active NPI

Passamaquoddy Tribal Council

Doing business as Sipayik Ambulance Service

  • Land Ambulance
  • Perry, ME
National Provider Identifier
1902967060
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
640 Issued in ME
Legal business name
PASSAMAQUODDY TRIBAL COUNCIL
Doing business as
Sipayik Ambulance Service
Practice address
11 Back Road
Perry, ME 04667-0351
Phone
(207) 853-0644
Fax
(207) 853-2347
NPI assigned
Dec 13, 2006
Last updated
Apr 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Authorized official

Name
Elizabeth Neptune
Title
Health Director
Phone
(207) 853-0644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 640 ME Primary

Addresses

Primary practice location

11 Back Road
Perry, ME 04667-0351

Mailing address

PO Box 351
Perry, ME 04667-0351
Phone (207) 853-0644

Other identifiers 1

IdentifierTypeStateIssuer
107300000MedicaidME

Other names 1

  • Sipayik Ambulance Service Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Passamaquoddy Tribal Council3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1902967060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351",
            "city": "PERRY",
            "state": "ME",
            "postal_code": "046670351",
            "telephone_number": "207-853-0644",
            "fax_number": "207-853-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BACK ROAD",
            "city": "PERRY",
            "state": "ME",
            "postal_code": "046670351",
            "telephone_number": "207-853-0644",
            "fax_number": "207-853-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAMAQUODDY TRIBAL COUNCIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "NEPTUNE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "207-853-0644"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107300000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sipayik Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sipayik Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perry, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.