MEDICARE: BUTLER MEDICAL TRANSPORT, LLC

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	3416L0300X	Land Ambulance	105	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477583672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUTLER MEDICAL TRANSPORT, LLC

Provider Business Mailing Address
First Line	:	3108 LORD BALTIMORE DR STE 100
Second Line	:
City	:	WINDSOR MILL
State	:	MD
Zip	:	21244-5807
Country	:	US
Telephone Number	:	410-602-4007
Fax Number	:	410-602-4006

Provider Business Practice Location Address
First Line	:	3108 LORD BALTIMORE DR STE 100
Second Line	:
City	:	WINDSOR MILL
State	:	MD
Zip	:	21244-5807
Country	:	US
Telephone Number	:	410-602-4007
Fax Number	:	410-602-4006

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MR. WILLIAM ROSENBERG
Credential	:	M.S., NRP, CCEMT-P
Telephone Number	:	410-602-4007

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	04/27/2022

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Directions to “BUTLER MEDICAL TRANSPORT, LLC ” Practice Location

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