BROOKS AMBULANCE INC. (NPI# 1700388477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700388477 |
| Entity Type | Organization |
| Organization Name | BROOKS AMBULANCE INC. |
| Practice Address |
55 Reynolds Rd Brooks ME 04921-3637 |
| Mailing Address |
Po Box 58 Winterport ME 04496-0058 |
| Practice Telephone | 2077223488 |
| Mailing Telephone | 2072235733 |
| Mailing Fax Number | 2072235743 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |
| Authorized Official Name | KEITH LLOYD NEALLEY (CAPTAIN) |
| Authorized Official Telephone | 2073222124 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
0380 | ME | Transportation Services |
| Street Address |
55 REYNOLDS RD |
| City | BROOKS |
| State | ME |
| Zip Code | 04921-3637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750404596 | Dorothy Alonso Carin | Family Medicine | 55 Reynolds Rd, Box 159, Brooks, ME 04921-3637 | 2007-04-09 |
| 1043871585 | Julia Ann Ellis | Nurse Practitioner | 55 Reynolds Rd, Brooks, ME 04921-3637 | 2019-06-25 |
| 1407254519 | Angela Lyford | Social Worker | 55 Reynolds Rd, Brooks, ME 04921-3637 | 2014-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821138017 | Nichole Lavalley | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1461 Moosehead Trl, Jackson, ME 04921 | 2007-02-07 |
| 1508931429 | Waldo County General Hospital | Ambulance | 55 Reynolds Road, Brooks, ME 04921 | 2006-11-24 |
| 1487720215 | Mainehealth | Clinic/Center | 55 Reynolds Road, Brooks, ME 04921 | 2006-11-24 |
| 1427077312 | Ronald E. Cormier | Nurse Practitioner | 55 Reynolds Road, Brooks, ME 04921-0159 | 2006-07-19 |
| 1710149257 | Allyn Eldridge | Occupational Therapy Assistant | 53 Hatch Rd, Jackson, ME 04921-3022 | 2008-06-26 |
| 1669404786 | John C. Kraft | Social Worker | 263 Village Rd, Jackson, ME 04921-3102 | 2006-07-07 |
| 1598278038 | Lisa A Audino | Social Worker | 467 Hadley Mill Rd, Jackson, ME 04921-3119 | 2017-11-07 |
| 1053780809 | Sarina Roche | Registered Nurse | 303 Monroe Hwy, Brooks, ME 04921-3420 | 2015-09-23 |
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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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.