NPI Code Details Logo

NPI 1437151040

NPI 1437151040 : SAFETY RESOURCES GROUP EMS INC : MANCHESTER, NH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1437151040
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SAFETY RESOURCES GROUP EMS INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/12/2005
-----------------------------------------------------
    Last Update Date     |    09/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    250 COMMERCIAL ST SUITE 1014
-----------------------------------------------------
    City                 |    MANCHESTER
-----------------------------------------------------
    State                |    NH
-----------------------------------------------------
    Zip                  |    03101-1142
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    603-624-9119
-----------------------------------------------------
    Fax                  |    603-624-9120
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    250 COMMERCIAL ST SUITE 1014
-----------------------------------------------------
    City                 |    MANCHESTER
-----------------------------------------------------
    State                |    NH
-----------------------------------------------------
    Zip                  |    03101-1142
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    603-624-9119
-----------------------------------------------------
    Fax                  |    603-624-9120
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |    MR. WILLIAM MICHAEL GOREN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    603-624-9119
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    3416L0300X
-----------------------------------------------------
    Taxonomy Name        |    Land Ambulance
-----------------------------------------------------
    License Number       |    0413
-----------------------------------------------------
    License Number State |    NH
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    343900000X
-----------------------------------------------------
    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
-----------------------------------------------------
    License Number       |    0413
-----------------------------------------------------
    License Number State |    NH
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.