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POTSDAM VOLUNTEER RESCUE SQUAD INC
NPI 1003806563
Ambulance in Potsdam, NY

Active since October 26, 2005CLIA 33D1093780 · Waiver
29 ELM ST, POTSDAM, NY 13676(315) 265-2550(315) 265-6859 Get Directions Write a Review

NPPES record last updated: August 26, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Potsdam Volunteer Rescue Squad Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POTSDAM VOLUNTEER RESCUE SQUAD INC (NPI 1003806563) is a healthcare organization registered as an ambulance in Potsdam, New York and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Mary T Gentile, Authorized Agent, as its authorized official.

NPPES Registry Identity

NPI1003806563
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NamePOTSDAM VOLUNTEER RESCUE SQUAD INC
Location Address29 ELM STPotsdam, NY 13676-1965
Mailing AddressPo Box 290184Wethersfield, CT 06129-0184 · (860) 257-9201 · Fax (860) 721-6362
Phone(315) 265-2550
Fax(315) 265-6859
Organization SubpartNo
Authorized OfficialMary T GentileAuthorized Agent · (860) 257-9201
Enumeration DateOctober 26, 2005
Last NPPES UpdateAugust 26, 2008
✔ NPI 1003806563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in NY · 4426
Definition

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).

29 ELM ST, Potsdam, NY 13676
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Other Identifiers 3

Medicare PIN55931BNY
Medicaid01629547NY
Other590009942Railroad Medicare

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1093780

Potsdam Volunteer Rescue Squad Inc · Potsdam, NY
Active · expires Mar 26, 2027
CLIA Number33D1093780
Laboratory TypeAmbulance
Certificate Effective DateJanuary 2, 2009
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Ryan Coates
Laboratory Phone(315) 265-2550
Laboratory LocationPotsdam Volunteer Rescue Squad Inc29 Elm Street, Potsdam, NY 13676
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
2,871 services280 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
244 services153 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
181 services156 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Potsdam Volunteer Rescue Squad Inc's NPI number?

The NPI number for Potsdam Volunteer Rescue Squad Inc is 1003806563. It was assigned to this organization in the NPPES registry on October 26, 2005.

Where is Potsdam Volunteer Rescue Squad Inc located?

Potsdam Volunteer Rescue Squad Inc is located at 29 Elm St, Potsdam, NY 13676. The listed phone number is (315) 265-2550.

What is Potsdam Volunteer Rescue Squad Inc's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does Potsdam Volunteer Rescue Squad Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1093780) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Potsdam Volunteer Rescue Squad Inc was last updated on August 26, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.