City of Presque Isle

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1042 Issued in ME

Legal business name

CITY OF PRESQUE ISLE

Practice address

43 North St
Suite 1
Presque Isle, ME 04769-3219

Phone

(207) 764-2538

Fax

(207) 764-2537

NPI assigned

Mar 6, 2017

Organization subpart

No

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

Authorized official

Name

Martin L Puckett

Title

City Manager

Phone

(207) 760-2785

Specialties & licenses 1

Addresses

Other names 1

• Presque Isle Fire Department Other name

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1912447277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 NORTH ST",
            "address_2": "SUITE 1",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693219",
            "telephone_number": "207-764-2538",
            "fax_number": "207-764-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 NORTH ST",
            "address_2": "SUITE 1",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693219",
            "telephone_number": "207-764-2538",
            "fax_number": "207-764-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PRESQUE ISLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "PUCKETT",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CITY MANAGER",
        "authorized_official_telephone_number": "207-760-2785"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "1042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presque Isle Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shari Lee Cheney, OTR/L
• Child Development Services Aroostook
• Ann Mei-CHI Chiu, MD
• Alisha Choquette, AA, ACDP
• Jon David Christensen, DMD
• City Pharmacies Inc
• Lindsay R Clairmont, PT
• Stacy Clayton, MHRT-CSP
• Mary B Coffin, FNP
• Elizabeth Collins, OTR/L

• Land Ambulance in Presque Isle, ME
• Providers in Presque Isle, ME by specialty
• Land Ambulance in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.