City of Auburn

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

038 Issued in ME

Legal business name

CITY OF AUBURN

Practice address

550 Minot Ave
Auburn, ME 04210-4390

Phone

(207) 784-5433

NPI assigned

Apr 24, 2006

Organization subpart

No

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

Authorized official

Name

Frank Roma

Title

Chief

Phone

(207) 784-4533

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• City of Auburn Ambulance Doing business as

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": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1932165453",
    "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": "550 MINOT AVE",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042104390",
            "telephone_number": "207-784-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF AUBURN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "ROMA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "207-784-4533"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135920100",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "038703",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Auburn Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher E. Sacco, DPM, PA
• Alicia Marie Ciciarelli, PA-C
• City of Auburn
• City of Auburn
• City of Auburn
• Deirdre Hemphill Clark, RPH
• Elizabeth W Clark, PT
• Kaitlin Elaine Clark
• Kara Clark, NP
• Stephen P Clark, M.D.

• Land Ambulance in Auburn, ME
• Providers in Auburn, ME by specialty
• Land Ambulance in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.