Central Lincoln County Ambulance
Organization Active NPI Land Ambulance · Damariscotta, ME
NPI 1992731657 · NPPES record last updated Jan 4, 2024
Key facts
- NPI
- 1992731657
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- CENTRAL LINCOLN COUNTY AMBULANCE
- Practice address
- 29 Piper Mill Rd
Damariscotta, ME 04543-4706 - Phone
- (207) 563-8618
- Fax
- (207) 563-8625
- NPI assigned
- Jun 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Nicholas Michael Bryant
- Title
- Chief
- Phone
- (207) 563-7105
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071018000279 | ME | Part B Supplier - Ambulance Service Supplier | 2769578087 | Practice locations: Damariscotta, ME |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
29 Piper Mill Rd
Damariscotta, ME 04543-4706
Mailing address
PO Box 373
Damariscotta, ME 04543-0373
Phone (207) 563-8618
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165740000 | Medicaid | ME | |
| 71Z011784ME01 | Other | ME | BCBS PROVIDER NUMBER |
Other providers in Damariscotta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.