Town of Madawaska

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWN OF MADAWASKA

Doing business as

Madawaska Ambulance Service

Practice address

428 Main St
Madawaska, ME 04756-1105

Phone

(207) 728-6126

Fax

(207) 728-3618

NPI assigned

Nov 29, 2006

Last updated

Jul 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary Picard

Title

Town Manager

Phone

(207) 728-6351

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Madawaska Ambulance Service 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

Locations

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1952478737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1820",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047691820",
            "telephone_number": "207-764-7529",
            "fax_number": "207-764-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 MAIN ST",
            "city": "MADAWASKA",
            "state": "ME",
            "postal_code": "047561105",
            "telephone_number": "207-728-6126",
            "fax_number": "207-728-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF MADAWASKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "PICARD",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "TOWN MANAGER",
        "authorized_official_telephone_number": "207-728-6351"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "ME",
            "license": "437",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID",
            "identifier": "007776",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136820000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madawaska Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Madawaska Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St John Valley Dental Center
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• Melana Lynn Tardiff, RN-BSN
• Camiesha Terry
• Glen Thibodeau, LMT
• Town of Madawaska School Department (Town of Madawaska School)
• Melissa A. Voisine, MHRT-C
• Parise M. Voisine, MHRT-C
• Walgreen Eastern Co Inc (Walgreens #19304)
• Sabrina Zetterman, MHRT-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.