1902949282 NPI number — VALLEY EMERGENCY MEDICAL SERVICE, INC.

Table of content: (NPI 1902949282)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902949282 NPI number — VALLEY EMERGENCY MEDICAL SERVICE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VALLEY EMERGENCY MEDICAL SERVICE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902949282
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
129 US ROUTE 1
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRENCHVILLE
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04745-6106
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-543-7300
Provider Business Mailing Address Fax Number:
207-543-7412

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
129 US ROUTE 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRENCHVILLE
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04745-6106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-543-7300
Provider Business Practice Location Address Fax Number:
207-543-7412
Provider Enumeration Date:
02/15/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SAUCIER
Authorized Official First Name:
MIRA
Authorized Official Middle Name:
T.
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
207-543-7300

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  719 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 54815312 . This is a "DEPT. OF DEFENSE - V.A." identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".
  • Identifier: AM0217ME . This is a "ANTHEM" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".
  • Identifier: 100510 . This is a "BC COMP. PLAN" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".
  • Identifier: 1289438 . This is a "AETNA" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".
  • Identifier: 100510 . This is a "BC BS" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".




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