Provider Demographics
NPI:1194424705
Name:BERHE, RUTH (RED SEA NEMT)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:BERHE
Suffix:
Gender:F
Credentials:RED SEA NEMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11310 CROMWELL CT
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-1128
Mailing Address - Country:US
Mailing Address - Phone:571-278-1280
Mailing Address - Fax:
Practice Address - Street 1:11310 CROMWELL CT
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-1128
Practice Address - Country:US
Practice Address - Phone:571-278-1280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)