Provider Demographics
NPI:1720235823
Name:BUTLER MEDICAL TRANSPORT, INC
Entity Type:Organization
Organization Name:BUTLER MEDICAL TRANSPORT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:NREMT-P, MS
Authorized Official - Phone:410-602-4007
Mailing Address - Street 1:27 WALKER AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-4004
Mailing Address - Country:US
Mailing Address - Phone:410-602-4007
Mailing Address - Fax:410-602-4006
Practice Address - Street 1:700 N HARTLEY ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-2805
Practice Address - Country:US
Practice Address - Phone:717-852-7540
Practice Address - Fax:717-852-7590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-20
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport