Active NPI
Town of Scarborough
- Land Ambulance
- Scarborough, ME
National Provider Identifier
1962495051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- TOWN OF SCARBOROUGH
- Doing business as
- Scarborough Fire Department
- Practice address
- 259 US Route 1
Scarborough, ME 04074-9525 - Phone
- (207) 730-4003
- Fax
- (207) 730-4004
- NPI assigned
- Aug 24, 2005
- 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
- Richard Kindelan
- Title
- Chief
- Phone
- (207) 730-4201
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 615 | ME | |
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
259 US Route 1
Scarborough, ME 04074-9525
Mailing address
PO Box 360
Scarborough, ME 04070-0360
Phone (207) 730-4003
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590132238 | Other | ME | PALMETTO GBA-RR MC |
| 137170000 | Medicaid | ME | |
| 001185 | Other | ME | ANTHEM |
Other names 2
- Scarborough Fire Department
- Scarborough 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 |
|---|---|---|---|---|
| O20120207000471 | ME | Part B Supplier - Ambulance Service Supplier | 1052578887 | Practice locations: Scarborough, ME |
National Provider Directory
National Provider DirectoryLocations
290 US Route 1
Scarborough, ME 04074
Phone (207) 883-7184
275 US Route 1
Scarborough, ME 04074
Phone (207) 730-4081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708041600000",
"number": "1962495051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 360",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040700360",
"telephone_number": "207-730-4003",
"fax_number": "207-730-4004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 US ROUTE 1",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040749525",
"telephone_number": "207-730-4003",
"fax_number": "207-730-4004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF SCARBOROUGH",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-24",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A",
"authorized_official_last_name": "KINDELAN",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "207-730-4201"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "ME",
"license": "615",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA-RR MC",
"identifier": "590132238",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137170000",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "001185",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Scarborough Fire Department",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Scarborough Rescue",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.