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ELLENVILLE FIRST AID & RESCUE SQUAD INC
NPI 1215925763
Ambulance - Land Transport in Ellenville, NY

Active since October 10, 2005CLIA 33D2176576 · Waiver
1 WEBSTER ST, ELLENVILLE, NY 12428(845) 647-8181(845) 647-3947 Get Directions Write a Review

NPPES record last updated: October 11, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ellenville First Aid & Rescue Squad Inc NPPES

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

ELLENVILLE FIRST AID & RESCUE SQUAD INC (NPI 1215925763) is a healthcare organization registered as a land transport in Ellenville, 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 Steve Grundt, Chief, as its authorized official.

NPPES Registry Identity

NPI1215925763
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameELLENVILLE FIRST AID & RESCUE SQUAD INC
Location Address1 WEBSTER STEllenville, NY 12428-1109
Mailing AddressPo Box 207Allentown, PA 18105-0207 · (484) 664-2007 · Fax (484) 664-2015
Phone(845) 647-8181
Fax(845) 647-3947
Organization SubpartNo
Authorized OfficialSteve GrundtChief · (845) 647-8181
Enumeration DateOctober 10, 2005
Last NPPES UpdateOctober 11, 2012
✔ NPI 1215925763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in NY · 5515
1 WEBSTER ST, Ellenville, NY 12428
Open in Google Maps ↗

Other Identifiers 2

Medicaid01581800NY
Medicare PINA02371NY

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 33D2176576

Ellenville First Aid And Rescue Squad Inc · Ellenville, NY
Active · expires Mar 26, 2027
CLIA Number33D2176576
Laboratory TypeAmbulance
Certificate Effective DateDecember 18, 2019
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Nicki E. Maxwell
Laboratory Phone(845) 647-8181
Laboratory LocationEllenville First Aid And Rescue Squad Inc1 Webster Street, Ellenville, NY 12428
CLIA data matches this NPI record on: Address 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 2024 & 2026 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.
1,922 services147 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.
131 services85 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.
103 services80 patients

Frequently Asked Questions

What is ELLENVILLE FIRST AID & RESCUE SQUAD INC's NPI number?

The NPI number assigned to this healthcare provider is 1215925763, enumerated as an "organization" on October 10, 2005.

Where is the provider located?

The provider is located at 1 WEBSTER ST ELLENVILLE, NY 12428 and the phone number is (845) 647-8181.

What is the provider's specialty?

Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.

What insurance does ELLENVILLE FIRST AID & RESCUE SQUAD INC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.