Active NPI
Town of Cape Elizabeth
Doing business as Cape Elizabeth Rescue
- Land Ambulance
- Cape Elizabeth, ME
National Provider Identifier
1922052745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 130
- Legal business name
- TOWN OF CAPE ELIZABETH
- Doing business as
- Cape Elizabeth Rescue
- Practice address
- 2 Jordan Way
Cape Elizabeth, ME 04107-2443 - Phone
- (207) 767-7417
- NPI assigned
- May 19, 2006
- Last updated
- Oct 5, 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
- Peter Gleeson
- Title
- Fire Rescue Chief
- Phone
- (207) 767-7417
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 130 | ME | Primary |
Addresses
Primary practice location
2 Jordan Way
Cape Elizabeth, ME 04107-2443
Mailing address
PO Box 1810
Windham, ME 04062-1810
Phone (207) 892-0020
Other names 1
- Cape Elizabeth Rescue
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120202000047 | ME | Part B Supplier - Ambulance Service Supplier | 6204093263 | Practice locations: Cape Elizabeth, 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 |
|---|---|---|---|
| 20D1077200 | Cape Elizabeth Rescue | Certificate of waiver | Dec 3, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Cape Elizabeth Rescue
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Cape Elizabeth, ME
- NPI 1669686341
Locations
2 Jordan Way
Cape Elizabeth, ME 04107
Phone (207) 767-7417
320 Ocean House Rd
Cape Elizabeth, ME 04107
Phone (207) 799-3987
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cape Elizabeth Rescue",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cape Elizabeth, ME
Sources for this page
- 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.