Provider Demographics
NPI:1437151040
Name:SAFETY RESOURCES GROUP EMS INC
Entity Type:Organization
Organization Name:SAFETY RESOURCES GROUP EMS INC
Other - Org Name:SRG EMS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:GOREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-624-9119
Mailing Address - Street 1:250 COMMERCIAL ST
Mailing Address - Street 2:SUITE 1014
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1142
Mailing Address - Country:US
Mailing Address - Phone:603-624-9119
Mailing Address - Fax:603-624-9120
Practice Address - Street 1:250 COMMERCIAL ST
Practice Address - Street 2:SUITE 1014
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1142
Practice Address - Country:US
Practice Address - Phone:603-624-9119
Practice Address - Fax:603-624-9120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH04133416L0300X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered3416L0300XTransportation ServicesAmbulanceLand Transport
Not Answered343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH71Y008160NH01OtherBCBS PROVIDER #
NH30823502Medicaid
NH30823502Medicaid