Healthcare Provider Details

I. General information

NPI: 1285289785
Provider Name (Legal Business Name): BERLIN FIRE COMPANY EMERGENCY MEDICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2019
Last Update Date: 10/26/2022
Certification Date: 10/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 N MAIN STREET
BERLIN MD
21811-1004
US

IV. Provider business mailing address

100 W COMMONS BLVD SUITE 210
NEW CASTLE DE
19720-2400
US

V. Phone/Fax

Practice location:
  • Phone: 410-479-4790
  • Fax: 410-479-4793
Mailing address:
  • Phone: 302-456-5725
  • Fax: 888-456-3155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID A FITZGERALD
Title or Position: PRESIDENT
Credential:
Phone: 410-641-1977