NORTHERN LIGHT MEDICAL TRANSPORT (NPI# 1174017941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174017941 |
Entity Type | Organization |
Organization Name | NORTHERN LIGHT MEDICAL TRANSPORT |
Practice Address |
931 Union St Bangor ME 04401-3011 |
Mailing Address |
43 Whiting Hill Rd Brewer ME 04412-1005 |
Practice Telephone | 2079734700 |
Practice Fax Number | 2079734713 |
Mailing Telephone | 2079734702 |
Mailing Fax Number | 2079734713 |
Enumeration Date | 2018-06-15 |
Last Update Date | 2018-06-15 |
Authorized Official Name | MR. JOSEPH CLARK KELLNER (VP EMER SERVICES AND COMM PROGS) |
Authorized Official Telephone | 2079734702 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
Street Address |
931 UNION ST |
City | BANGOR |
State | ME |
Zip Code | 04401-3011 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710521950 | Allison Rose Bassam Harb | Physician Assistant | 931 Union St, Bangor, ME 04401-3011 | 2019-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
Find all providers in zip 04401 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568596401 | Meridian Mobile Health LLC | Ambulance | 931 Union Street, Bangor, ME 04401 | 2007-03-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669080677 | Town of Winslow | Ambulance | 114 Benton Ave, Winslow, ME 04901-3039 | 2020-07-15 |
1083254668 | Cundy's Harbor Volunteer Fire Department | Ambulance | 837 Cundy's Harbor Rd, Harpswell, ME 04079 | 2020-01-10 |
1639643125 | Orrs and Bailey Islands Fire Department | Ambulance | 1600 Harpswell Island Rd, Orr's Island, ME 04066 | 2019-01-17 |
1881185114 | Town of Lowell | Ambulance | 129 W Old Main Road, Lowell, ME 04493 | 2018-05-22 |
1508366519 | United Ambulance Bridgton | Ambulance | 32 Hospital Dr, Bridgton, ME 04009-1166 | 2018-02-16 |
1174034318 | Town of Levant | Ambulance | 3917 Union St., Levant, ME 04456 | 2017-10-16 |
1912447277 | City of Presque Isle | Ambulance | 43 North St, Suite 1, Presque Isle, ME 04769-3219 | 2017-03-06 |
1083074157 | Town of Albion | Ambulance | 15 Benton Road, Albion, ME 04910 | 2016-03-02 |
1881025310 | Town of New Gloucester | Ambulance | 611 Lewiston Road, New Gloucester, ME 04260-3818 | 2013-12-10 |
1124450622 | Town of Mechanic Falls | Ambulance | 108 Lewiston St., Mechanic Falls, ME 04256 | 2013-08-07 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.