POTSDAM VOLUNTEER RESCUE SQUAD INC; NPI #1003806563

Contact Information

POTSDAM VOLUNTEER RESCUE SQUAD INC

29 ELM ST
POTSDAM, NY 13676-1965

Phone: 315-265-2550
Fax: 315-265-6859
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for POTSDAM VOLUNTEER RESCUE SQUAD INC

NPI # 1003806563

LBN Legal business name POTSDAM VOLUNTEER RESCUE SQUAD INC

Authorized official MARY GENTILE - (AUTHORIZED AGENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/26/2005

Last updated 08/26/2008 - About 18 years ago

Identifiers

NY	License #	4426
NY	Medicaid	01629547
	Other	590009942	RAILROAD MEDICARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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