Active NPI
City of Caribou
Doing business as Caribou Fire & Ambulance Department
- Land Ambulance
- Caribou, ME
National Provider Identifier
1982652715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 135
- 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, 2022
- 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
- Mr. Scott Susi
- Title
- Fire Chief
- Phone
- (207) 493-4215
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Caribou Fire - Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070814000667 | ME | Part B Supplier - Ambulance Service Supplier | 3779674148 | Practice locations: Caribou, ME |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D1068124 | Caribou Fire & Ambulance Department | Certificate of waiver | May 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.