Organization Active NPI

Town of Scarborough

  • Land Ambulance
  • Scarborough, ME
National Provider Identifier
1962495051
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Feb 16, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
590132238OtherMEPALMETTO GBA-RR MC
137170000MedicaidME
001185OtherMEANTHEM

Other names 2

  • Scarborough Fire Department Doing business as
  • Scarborough Rescue Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120207000471 ME Part B Supplier - Ambulance Service Supplier 1052578887 Practice locations: Scarborough, ME

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.