FORT EDWARD RESCUE SQUAD INC NPI 1427031319

NPI Information

NPI: 1427031319
Provider Name: FORT EDWARD RESCUE SQUAD INC
Classification: Ambulance - 341600000X
Entity Type: Organization
CLIA Number: 33D2192453
Address: 75 SCHUYLER STREET
FORT EDWARD, NY
ZIP 12828
Phone: (518) 747-6198

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NPI Details

FORT EDWARD RESCUE SQUAD INC is an ambulance in Fort Edward, 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). FORT EDWARD RESCUE SQUAD INC NPI is 1427031319. The provider is registered as an organization entity type.

The provider's business location address is:

75 SCHUYLER STREET
FORT EDWARD, NY
ZIP 12828
Phone: (518) 747-6198
Fax: (518) 746-9479

The provider's authorized official is Della Stine .
The authorized official title is President and has the following contact phone number (518) 747-6198.

The CLIA number assigned to this NPI record is 33D2192453 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Ground mileage, per statute mile (HCPCS:A0425)
Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)
Ambulance service, basic life support, non-emergency transport, (bls) (HCPCS:A0428)

The enumeration date for this NPI number is 11/23/2005 and was last updated on 12/22/2016.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	341600000X	Ambulance		09742	NEW YORK	No
2	341600000X	Ambulance				Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10023189	OTHER		CDPHP
2	000400562001	OTHER		BS OF NORTHEASTERN NY
3	590011143	OTHER		PALMETTO GBA RAILROAD
4	9718591	OTHER		GHI
5	56752B	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
6	958571	OTHER		MVP
7	01767055	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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