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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 Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
 

Non-emergency Medical Transport (VAN)

343900000X
Indicates primary specialty

NPI Profile & details for GOUVERNEUR VOLUNTEER RESCUE SQUAD INC

NPI Number 1245228782
LBN Legal business name GOUVERNEUR VOLUNTEER RESCUE SQUAD INC
Authorized official MARK DEAVERS - (DIRECTOR OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 10/10/2005
Last updated 01/06/2015 - About 11 years ago
Identifiers
NY License # 43946
NY License # 4417
NY Medicaid 01640344
Other 590008863 RAILROAD MEDICARE
NY Other 02988094 NON-MEDICAL MEDICAID PROVIDER NUMBER
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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