National Provider Identifier Database

GOUVERNEUR VOLUNTEER RESCUE SQUAD INC
Ambulance

An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).


Contact Information

GOUVERNEUR VOLUNTEER RESCUE SQUAD INC
1024 US HIGHWAY 11
GOUVERNEUR, NY13642-3507
Phone: 315-287-1321
Fax: 315-287-3954
Website:
Specialty Taxonomy Code
* Ambulance 341600000X
Non-emergency Medical Transport (VAN) 343900000X

* Indicates primary specialty

NPI Profile & details for GOUVERNEUR VOLUNTEER RESCUE SQUAD INC

NPI Number 1245228782
Legal business name
LBN
GOUVERNEUR VOLUNTEER RESCUE SQUAD INC
Authorized official MARK DEAVERS - (DIRECTOR OF OPERATIONS)
Entity Organization
Organization subpart No
Enumeration date 10/10/2005
Last updated 01/06/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 43946
  • NY License #: 4417
  • NY Medicaid: 01640344
  • Other: 590008863 RAILROAD MEDICARE
  • NY Other: 02988094 NON-MEDICAL MEDICAID PROVIDER NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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