TOWN OF WALDOBORO
NPI 1053322792
Ambulance - Land Transport in Waldoboro, ME

Q: What is Town Of Waldoboro's NPI number?

The NPI number for Town Of Waldoboro is 1053322792. It was assigned to this organization in the NPPES registry on August 10, 2006. The provider was formerly known as Town Of Waldoboro Emergency Medical Service.

Q: What is Town Of Waldoboro's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Q: When was this NPI record last updated?

The NPPES record for Town Of Waldoboro was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 10, 2006

1600 ATLANTIC HIGHWAY, WALDOBORO, ME 04572(207) 832-2160(207) 832-6061 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Town Of Waldoboro NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TOWN OF WALDOBORO (NPI 1053322792), doing business as Town Of Waldoboro Emergency Medical Service, is a healthcare organization registered as a land transport in Waldoboro, Maine and active in the NPI registry since August 2006. The organization lists Derek S Booker, Service Chief, as its authorized official.

NPPES Registry Identity

NPI1053322792

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameTOWN OF WALDOBORO

Location Address1600 ATLANTIC HIGHWAYWaldoboro, ME 04572-6018

Mailing AddressPo Box JWaldoboro, ME 04572-0911 · (207) 832-2160 · Fax (207) 832-2166

Phone(207) 832-2160

Fax(207) 832-6061

Organization SubpartYes

Authorized OfficialDerek S BookerService Chief · (207) 832-2160

Enumeration DateAugust 10, 2006

Last NPPES UpdateSeptember 24, 2024

NPPES CertifiedSeptember 24, 2024

✔ NPI 1053322792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAmbulance · Land TransportTransportation Services

Taxonomy Code3416L0300X

Also ListedAmbulanceTaxonomy 341600000X · License 730 (ME)

1600 ATLANTIC HIGHWAY, Waldoboro, ME 04572

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Other Names 1

Former Legal Business NameTown Of Waldoboro Emergency Medical Service

Other Identifiers 2

Other001187ME · Anthem Bc/bs Star Number

Medicaid137370000ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Town Of Waldoboro is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateMaineEnrollment IDO20100210000053Non-DME Part B · Ambulance Service SupplierDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425

Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.

6,920 services162 patients

Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427

Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.

146 services95 patients

Ambulance service, basic life support, emergency transport (bls-emergency) A0429

Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.

46 services30 patients

Ambulance service, basic life support, non-emergency transport, (bls) A0428

Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.

45 services36 patients

Specialty care transport (sct) A0434

Specialty Care Transport (SCT) is a level of medical transport service for critically ill or injured patients. It involves healthcare professionals with advanced skills and equipment to provide continuous care during transport, ensuring patient's safety and well-being.

16 services16 patients

Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426

Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.

15 services15 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Town Of Waldoboro's NPI number?

The NPI number for Town Of Waldoboro is 1053322792. It was assigned to this organization in the NPPES registry on August 10, 2006. The provider was formerly known as Town Of Waldoboro Emergency Medical Service.

Where is Town Of Waldoboro located?

Town Of Waldoboro is located at 1600 Atlantic Highway, Waldoboro, ME 04572. The listed phone number is (207) 832-2160.

What is Town Of Waldoboro's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Is Town Of Waldoboro enrolled in Medicare?

Yes. Town Of Waldoboro is registered in the Medicare PECOS enrollment system.

When is Town Of Waldoboro's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Maine, Ambulance Service Supplier) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Town Of Waldoboro accept?

Health plans from Anthem Blue Cross and Blue Shield list Town Of Waldoboro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Town Of Waldoboro was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.