GOUVERNEUR VOLUNTEER RESCUE SQUAD INC
NPI 1245228782
Ambulance in Gouverneur, NY
NPI Status: Active since October 10, 2005
Contact Information
1024 US HIGHWAY 11
GOUVERNEUR, NY
ZIP 13642
Phone: (315) 287-1321
Fax: (315) 287-3954
- Organization
- Ambulance
- CLIA Number: 33D2335296
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 03-26-2027
About GOUVERNEUR VOLUNTEER RESCUE SQUAD INC
This page provides the complete NPI Profile along with additional information for Gouverneur Volunteer Rescue Squad Inc, a provider established in Gouverneur, New York operating as a Ambulance. The healthcare provider is registered in the NPI registry with number 1245228782 assigned on October 2005. The practitioner's primary taxonomy code is 341600000X with license number 4417 (NY). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mr. Mark Deavers (Director Of Operations)
- NPI
- 1245228782
- Provider Name
- GOUVERNEUR VOLUNTEER RESCUE SQUAD INC
- Entity Type
- Organization
- Location Address
- 1024 US HIGHWAY 11 GOUVERNEUR, NY 13642
- Location Phone
- (315) 287-1321
- Location Fax
- (315) 287-3954
- Mailing Address
- 892 NEW CASTLE RD SLIPPERY ROCK, PA 16057
- Mailing Phone
- (800) 280-5974
- Mailing Fax
- (315) 287-3954
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-10-2005
- Last Update Date
- 01-06-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ambulance
- Taxonomy Code
- 341600000X
- Type
- Transportation Services
- License No.
- 4417
- License State
- NY
- Taxonomy Description
- 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).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | 43946 (NY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 590008863 | OTHER (01) | RAILROAD MEDICARE | |
| 01640344 | MEDICAID (05) | NY | |
| 02988094 | OTHER (01) | NY | NON-MEDICAL MEDICAID PROVIDER NUMBER |
| 53989B | MEDICARE PIN (08) | NY |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)
Ambulance service, basic life support, emergency transport (bls-emergency)
Ambulance service, basic life support, non-emergency transport, (bls)
Ground mileage, per statute mile
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.
This service was performed 74 times for 64 patientsAmbulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.
This service was performed 50 times for 44 patientsAmbulance 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.
This service was performed 154 times for 105 patientsBasic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
This service was performed 39 times for 36 patientsGround 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.
This service was performed 6,289 times for 185 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D2335296
- Facility Type
- Ambulance
- Certificate Effective Date
- December 09, 2025
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- DR. RYAN W. COATES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Gouverneur Volunteer Rescue Squad Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1245228782, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245228782, enumerated as an "organization" on October 10, 2005.
The provider is located at 1024 US HIGHWAY 11 GOUVERNEUR, NY 13642 and the phone number is (315) 287-1321.
Ambulance with taxonomy code 341600000X.
The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
