Healthcare Provider Details

I. General information

NPI: 1750351607
Provider Name (Legal Business Name): SOUTH BERWICK EMERGENCY AMBULANCE & RESCUE SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 09/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 NORTON ST
SOUTH BERWICK ME
03908-1124
US

IV. Provider business mailing address

8 TURCOTTE MEMORIAL DR
ROWLEY MA
01969-1706
US

V. Phone/Fax

Practice location:
  • Phone: 207-384-2300
  • Fax:
Mailing address:
  • Phone: 800-488-4351
  • Fax: 978-356-2721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number0202
License Number StateME

VIII. Authorized Official

Name: BARBARA ROSS
Title or Position: CHIEF
Credential:
Phone: 207-384-2300