Town of Cape Elizabeth

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

130 Issued in ME

Legal business name

TOWN OF CAPE ELIZABETH

Practice address

2 Jordan Way
Cape Elizabeth, ME 04107-2443

Phone

(207) 767-7417

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Peter Gleeson

Title

Fire Rescue Chief

Phone

(207) 767-7417

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Cape Elizabeth Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Cape Elizabeth Rescue2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Cape Elizabeth School Department

  • Local Education Agency (LEA)
  • Cape Elizabeth, ME
  • NPI 1669686341
  NPD tax ID

Locations

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1922052745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1810",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040621810",
            "telephone_number": "207-892-0020",
            "fax_number": "207-893-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JORDAN WAY",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041072443",
            "telephone_number": "207-767-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF CAPE ELIZABETH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "GLEESON",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "FIRE RESCUE CHIEF",
        "authorized_official_telephone_number": "207-767-7417"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "039397",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014366",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136270100",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Elizabeth Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristen Sydlowski
• Michael Takach, R.PH.
• Hilary Elizabeth Tardiff, PT, DPT
• Through These Doors
• Hannah Mullins Toothaker, FNP
• Garrett Trubey, RPT
• David W Trussell, DDS
• Jacqueline Vail, RDH
• Victory Residential Services LLC
• Jamie Viola

• All providers in Cape Elizabeth, ME
• Land Ambulance in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.

Verify at the official NPI Registry.