Provider Demographics
NPI:1689724387
Name:BERLIN EMERGENCY MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:BERLIN EMERGENCY MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MS, NRP, CCEMT-P
Authorized Official - Phone:888-602-4007
Mailing Address - Street 1:3108 LORD BALTIMORE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-5807
Mailing Address - Country:US
Mailing Address - Phone:888-602-4007
Mailing Address - Fax:888-602-4006
Practice Address - Street 1:182 E MASON ST
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:NH
Practice Address - Zip Code:03570-2810
Practice Address - Country:US
Practice Address - Phone:603-752-1020
Practice Address - Fax:603-752-3477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH99908668Medicaid
NH99908668Medicaid