Hermon Volunteer Rescue and First Aid Squad, Inc
Organization Active NPI Land Ambulance · Hermon, ME
NPI 1992827166 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1992827166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 350 (ME)
- Legal business name
- HERMON VOLUNTEER RESCUE AND FIRST AID SQUAD, INC
- Practice address
- 262 Billings Rd
Hermon, ME 04401-0535 - Phone
- (207) 992-4700
- Fax
- (207) 942-8213
- NPI assigned
- Apr 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Debra Watson
- Title
- Billing Clerk
- Phone
- (207) 992-4700
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D2027933 | Hermon Vol Rescue & First Aid Inc | Certificate of waiver | Aug 4, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120327000560 | ME | Part B Supplier - Ambulance Service Supplier | 1759541808 | Practice locations: Hermon, ME |
National Provider Directory
Locations
262 Billings Rd
Hermon, ME 04401
Phone (207) 848-9023
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 350 | ME | Yes |
Addresses
Primary practice location
262 Billings Rd
Hermon, ME 04401-0535
Mailing address
PO Box 8064
Bangor, ME 04402-8064
Phone (207) 992-4700
Other names
- Hermon Vol Rescue Squad
Other providers in Hermon, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.