Kennebunkport Emergency Medical Ser Incorporated

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

VIN94187 VEHICLE 987 Issued in ME

Legal business name

KENNEBUNKPORT EMERGENCY MEDICAL SER INCORPORATED

Practice address

172 Main St
Kennebunkport, ME 04046-6911

Phone

(207) 967-9704

Fax

(207) 967-2496

NPI assigned

Apr 26, 2006

Organization subpart

No

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

Authorized official

Name

Shawn P McPherson

Title

Billing Manager

Phone

(207) 892-0020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1942266085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1810",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "04062",
            "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": "172 MAIN ST",
            "city": "KENNEBUNKPORT",
            "state": "ME",
            "postal_code": "040466911",
            "telephone_number": "207-967-9704",
            "fax_number": "207-967-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEBUNKPORT EMERGENCY MEDICAL SER INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "MCPHERSON",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "207-892-0020"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "VIN94187 VEHICLE 987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109920000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.