Active NPI
United Ambulance
- Non-emergency Medical Transport (VAN)
- Lewiston, ME
National Provider Identifier
1912969023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- UNITED AMBULANCE
- Practice address
- 192 Russell St
Lewiston, ME 04240-5435 - Phone
- (207) 777-6010
- NPI assigned
- Apr 4, 2006
- 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
- Mr. Paul A Gosselin
- Title
- Executive Director
- Phone
- (207) 777-6006
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 702 | ME | |
| Ambulance | 341600000X | 703 | ME | |
| Non-emergency Medical Transport (VAN) | 343900000X | ME | Primary |
Addresses
Primary practice location
192 Russell St
Lewiston, ME 04240-5435
Mailing address
192 Russell St
Lewiston, ME 04240-5435
Phone (207) 777-6010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99909039 | Medicaid | NH | |
| 042892 | Other | ME | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100309000177 | ME | Part B Supplier - Ambulance Service Supplier | 3375688856 | Practice locations: Bridgton, ME; Lewiston, ME |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D0901487 | United Ambulance Service | Registration | Nov 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
32 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-3260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1912969023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 RUSSELL ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042405435",
"telephone_number": "207-777-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 RUSSELL ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042405435",
"telephone_number": "207-777-6010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED AMBULANCE",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-04",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "GOSSELIN",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "207-777-6006",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "ME",
"license": "702",
"primary": false
},
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "ME",
"license": "703",
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "ME",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "99909039",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "042892",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.