Organization Active NPI

City of Caribou

Doing business as Caribou Fire & Ambulance Department

  • Land Ambulance
  • Caribou, ME
National Provider Identifier
1982652715
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
135 Issued in ME
Legal business name
CITY OF CARIBOU
Doing business as
Caribou Fire & Ambulance Department
Caribou Fire - Ambulance
Practice address
121 High St
Caribou, ME 04736-2710
Phone
(800) 488-4351
Fax
(978) 356-2721
NPI assigned
May 4, 2006
Last updated
Jun 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Mr. Scott Susi
Title
Fire Chief
Phone
(207) 493-4215

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X 135 ME Primary

Addresses

Primary practice location

121 High St
Caribou, ME 04736-2710

Mailing address

25 High St
Caribou, ME 04736-2710
Phone (207) 493-3324

Other names 2

  • CARIBOU FIRE & AMBULANCE DEPARTMENT Doing business as
  • Caribou Fire - Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070814000667 ME Part B Supplier - Ambulance Service Supplier 3779674148 Practice locations: Caribou, ME

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D1068124Caribou Fire & Ambulance Department121 High Street, Caribou, ME 04736Certificate of waiverMay 2, 2027

National Provider Directory

National Provider Directory

Locations

111 High St
#2
Caribou, ME 04736

12 Airport Dr
Caribou, ME 04736
Phone (207) 493-4215

121 High St
Caribou, ME 04736
Phone (207) 493-4204

25 High St
Caribou, ME 04736

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1982652715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HIGH ST",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362710",
            "telephone_number": "207-493-3324",
            "fax_number": "207-493-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 HIGH ST",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362710",
            "telephone_number": "800-488-4351",
            "fax_number": "978-356-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CARIBOU",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "SUSI",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "207-493-4215",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ME",
            "license": "135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARIBOU FIRE & AMBULANCE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Caribou Fire - Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caribou, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.