# KENNEBUNKPORT EMERGENCY MEDICAL SER INCORPORATED

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942266085
- **Authorized official:** SHAWN P MCPHERSON (BILLING MANAGER)
- **Authorized official phone:** (207) 892-0020

## Contact information

- **Practice address:** 172 MAIN ST, KENNEBUNKPORT, ME 04046-6911
- **Practice address phone:** (207) 967-9704
- **Practice address fax:** (207) 967-2496
- **Mailing address:** P O BOX 1810, WINDHAM, ME 04062
- **Mailing address phone:** (207) 892-0020
- **Mailing address fax:** (207) 893-0583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | VIN94187 VEHICLE 987 | ME | Yes |

## Other

- **Enumeration date:** 04/26/2006
- **Last updated:** 03/14/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 109920000 | — | ME |