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FAIR HAVEN RESCUE SQUAD
NPI 1508820994
Ambulance in Fair Haven, VT

Active since April 13, 2006CLIA 47D2001155 · Waiver
17 PROSPECT ST, FAIR HAVEN, VT 05743(802) 265-3620(802) 265-8804 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fair Haven Rescue Squad NPPES

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

FAIR HAVEN RESCUE SQUAD (NPI 1508820994) is a healthcare organization registered as an ambulance in Fair Haven, Vermont and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through December 13, 2027 and lists Sean Galvin, Manager, as its authorized official.

NPPES Registry Identity

NPI1508820994
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameFAIR HAVEN VOLUNTEER RESCUE SQUAD, INC
Location Address17 PROSPECT STFair Haven, VT 05743-1220
Mailing Address17 Prospect StFair Haven, VT 05743-1220 · (802) 265-3620 · Fax (802) 265-8804
Phone(802) 265-3620
Fax(802) 265-8804
Organization SubpartNo
Authorized OfficialSean GalvinManager · (802) 265-3620
Enumeration DateApril 13, 2006
Last NPPES UpdateOctober 1, 2021
NPPES CertifiedOctober 1, 2021
✔ NPI 1508820994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in VT · 1004
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).
17 PROSPECT ST, Fair Haven, VT 05743
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Other Names 1

Doing Business AsFair Haven Rescue Squad

Other Identifiers 2

Medicaid590006228VT
Medicaid01655861NY

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 47D2001155

Fair Haven Rescue Squad · Fair Haven, VT
Active · expires Dec 13, 2027
CLIA Number47D2001155
Laboratory TypeAmbulance
Certificate Effective DateDecember 14, 2025
Certificate Expiration DateDecember 13, 2027
Laboratory DirectorMs. Lori A. Darrah
Laboratory Phone(802) 265-3620
Laboratory LocationFair Haven Rescue Squad17 Prospect Street, Fair Haven, VT 05743
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 4

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.
7,416 services203 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.
147 services111 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic 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.
73 services56 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.
68 services56 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 Fair Haven Volunteer Rescue Squad, Inc's NPI number?

The NPI number for Fair Haven Volunteer Rescue Squad, Inc is 1508820994. It was assigned to this organization in the NPPES registry on April 13, 2006. The provider is doing business as Fair Haven Rescue Squad.

Where is Fair Haven Volunteer Rescue Squad, Inc located?

Fair Haven Volunteer Rescue Squad, Inc is located at 17 Prospect St, Fair Haven, VT 05743. The listed phone number is (802) 265-3620.

What is Fair Haven Volunteer Rescue Squad, Inc's specialty?

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

Does Fair Haven Volunteer Rescue Squad, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 47D2001155) is associated with this NPI, valid through December 13, 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 Fair Haven Volunteer Rescue Squad, Inc was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.