GRANVILLE RESCUE SQUAD, INC.; NPI #1679550990

Contact Information

GRANVILLE RESCUE SQUAD, INC.

52 E POTTER AVE
GRANVILLE, NY 12832-1620

Phone: 518-642-1830
Fax: 315-635-3289
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 GRANVILLE RESCUE SQUAD, INC.

NPI # 1679550990

LBN Legal business name GRANVILLE RESCUE SQUAD, INC.

Authorized official MICHAEL ZINN - (ASSISTANT CAPTAIN)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/28/2005

Last updated 12/15/2025 - About 6 months ago

Identifiers

NY	License #	10046
NY	Medicaid	01693989
	Other	00040013100	BS OF NORTHEASTERN NY
	Other	10026607	CDPHP
	Other	9624705	GHI
	Other	999535	MVP
	Other	590011367	PALMETTO GBA RAILROAD
	Other	1006297	VT EDS

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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