MEMORIAL AMBULANCE CORPS. ISLE AU HAUT - STONINGTON - DEER ISLE (NPI# 1720062987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720062987 |
| Entity Type | Organization |
| Organization Name | MEMORIAL AMBULANCE CORPS. ISLE AU HAUT - STONINGTON - DEER ISLE |
| Other Organization Name | MEMORIAL AMBULANCE CORPS. |
| Practice Address |
77 Sunshine Rd Deer Isle ME 04627 |
| Mailing Address |
P O Box 387 Deer Isle ME 04627 |
| Practice Telephone | 2073485686 |
| Practice Fax Number | 2073485692 |
| Mailing Telephone | 2073485686 |
| Mailing Fax Number | 2073485692 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2012-11-07 |
| Authorized Official Name | WALTER T. REED (DIRECTOR - MEMORIAL AMBULANCE CORPS) |
| Authorized Official Telephone | 2073485686 |
| Authorized Official Credential | EMT-I |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
460 | ME | Transportation Services |
| Y | 341600000X | Ambulance | 460 | ME | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 104070000 | 05 |
| Other Name | Type Code |
|---|---|
| Memorial Ambulance Corps. | Doing Business As Name - Organization |
| Street Address |
77 SUNSHINE RD |
| City | DEER ISLE |
| State | ME |
| Zip Code | 04627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104358365 | Coastline Physical Therapy & Performance | Physical Therapist | 444 Dunham Point Rd, Deer Isle, ME 04627 | 2017-03-28 |
| 1710165857 | Elinor A Spencer | Occupational Therapist | Route 15 587 No Deer Isle Rd, Island Nursing Home, Deer Isle, ME 04627 | 2008-01-31 |
| 1003099540 | Darby S French | Speech-Language Pathologist | 35 Campbell View Drive, Deer Isle, ME 04627 | 2007-12-06 |
| 1326241530 | Lori Marie Ingram | Occupational Therapy Assistant | 587 North Deer Isle Rd, Island Nursing Home, Deer Isle, ME 04627 | 2007-06-06 |
| 1669637120 | Tanya Lee Ruzyckij | Occupational Therapy Assistant | 587 N Deer Isle Rd, Deer Isle, ME 04627 | 2008-07-24 |
| 1609353721 | Caitlin Johnston | Physical Therapy Assistant | 549 Reach Rd, Deer Isle, ME 04627-3342 | 2018-07-21 |
| 1841437340 | Elizabeth Anne Duncombe | Social Worker | 56 Reach Rd, Deer Isle, ME 04627-3344 | 2009-01-21 |
| 1144409210 | Amy Jo Vandorn | Social Worker | 249 N Deer Isle Rd, Deer Isle-stonington Elementary School, Deer Isle, ME 04627-3432 | 2007-10-25 |
| 1861481384 | Island Nursing Home, Inc | Nursing Facility/Intermediate Care Facility | 587 N Deer Isle Rd, Deer Isle, ME 04627-3438 | 2005-10-18 |
| 1134618069 | Ruth Helen Eaton | Occupational Therapist | 587 N Deer Isle Rd, Deer Isle, ME 04627-3438 | 2018-05-07 |
| Find all providers in zip 04627 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914434 | Town of Lincoln | Ambulance | 1 Adams St, Lincoln, ME 04457-1412 | 2020-08-25 |
| 1114539293 | Town of Fort Fairfield | Ambulance | 18 Community Center Dr, Fort Fairfield, ME 04742-1193 | 2020-08-19 |
| 1689297137 | Town of Medway | Ambulance | 23 Grindstone Road, Medway, ME 04460-3025 | 2020-05-19 |
| 1689295867 | Central Aroostook County Emergency Medical Service Authority | Ambulance | 150 Military Rd, Blaine, ME 04734-4314 | 2020-04-29 |
| 1083914576 | Town of Swan's Island | Ambulance | 125 Harbor Rd, Swans Island, ME 04685-9998 | 2010-10-30 |
| 1215269006 | Premier Medical Services | Ambulance | 156 Cedar St, #1, Bangor, ME 04401 | 2010-02-04 |
| 1336312073 | Town of Baileyville | Ambulance | 63 Broadway St., Baileyville, ME 04694 | 2008-04-02 |
| 1093909699 | Town of Warren | Ambulance | 167 Western Rd, Warren, ME 04864-4279 | 2007-08-28 |
| 1518163450 | Town of Cushing | Ambulance | 39 Cross Rd, Cushing, ME 04563-3100 | 2007-06-26 |
| 1528260783 | Town of Patten | Ambulance | 27 Dearborn St., Patten, ME 04765 | 2007-06-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MEMORIAL AMBULANCE CORPS. ISLE AU HAUT - STONINGTON - DEER ISLE.
| 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.