PRINCETON RESCUE SQUAD INC NPI 1609814607

NPI Information

  • NPI: 1609814607
  • Provider Name: PRINCETON RESCUE SQUAD INC
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • CLIA Number: 51D2178354
  • Address: 701 STAFFORD DR
    PRINCETON, WV
    ZIP 24740
  • Phone: (304) 425-3914

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NPI Details

PRINCETON RESCUE SQUAD INC is a land transport ambulance in Princeton, WV. PRINCETON RESCUE SQUAD INC NPI is 1609814607. The provider is registered as an organization entity type.

The provider's business location address is:

701 STAFFORD DR
PRINCETON, WV
ZIP 24740-447
Phone: (304) 425-3914
Fax: (304) 431-3518

The provider's authorized official is Stacey Hicks .
The authorized official title is C.e.o./administrator and has the following contact phone number (304) 425-3914.

The CLIA number assigned to this NPI record is 51D2178354 - ambulance with a certificate type of Certificate of Waiver.

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, non-emergency transport, (bls) (HCPCS:A0428)
  • Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)
  • Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Adm sarscov2 30mcg/0.3ml 3rd (HCPCS:0003A)
  • Specialty care transport (sct) (HCPCS:A0434)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)

The enumeration date for this NPI number is 6/2/2006 and was last updated on 10/17/2012.

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
13416L0300XAmbulanceLand Transport12810WEST VIRGINIAYes

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
19216441MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIAMEDICARE PROVIDER NUMBER
20146003000MEDICAIDWEST VIRGINIA

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: 3/30/2025

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