POTSDAM VOLUNTEER RESCUE SQUAD INC NPI 1003806563

NPI Information

POTSDAM VOLUNTEER RESCUE SQUAD INC is an ambulance in Potsdam, NY. The provider is 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). POTSDAM VOLUNTEER RESCUE SQUAD INC NPI is 1003806563. The provider is registered as an organization entity type.

The provider's business location address is:

29 ELM ST
POTSDAM, NY
ZIP 13676-965
Phone: (315) 265-2550
Fax: (315) 265-6859

The provider's authorized official is Mary T Gentile .
The authorized official title is Authorized Agent and has the following contact phone number (860) 257-9201.

The CLIA number assigned to this NPI record is 33D1093780 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2005 and was last updated on 8/26/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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