MEDICARE: NORTH BERWICK RESCUE SQUAD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	482	ME
2	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1073599338
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH BERWICK RESCUE SQUAD

Provider Business Mailing Address
First Line	:	8 TURCOTTE MEMORIAL DR
Second Line	:
City	:	ROWLEY
State	:	MA
Zip	:	01969-1706
Country	:	US
Telephone Number	:	800-488-4351
Fax Number	:	978-356-2721

Provider Business Practice Location Address
First Line	:	338 LEBANON RD
Second Line	:
City	:	NORTH BERWICK
State	:	ME
Zip	:	03906-5704
Country	:	US
Telephone Number	:	207-676-9417
Fax Number	:	207-676-3205

Authorized Official
Title or Position	:	CHIEF
Name	:	MICHAEL BARKER
Credential	:
Telephone Number	:	207-676-9417

Provider Enumeration Date	:	12/19/2005
Last Update Date	:	02/24/2023

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