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PRINCETON RESCUE SQUAD INC
NPI 1609814607
Ambulance - Land Transport in Princeton, WV

Active since June 02, 2006CLIA 51D2178354 · Waiver
701 STAFFORD DR, PRINCETON, WV 24740(304) 425-3914(304) 431-3518 Get Directions Write a Review

NPPES record last updated: October 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Princeton Rescue Squad Inc NPPES

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

PRINCETON RESCUE SQUAD INC (NPI 1609814607) is a healthcare organization registered as a land transport in Princeton, West Virginia and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through January 30, 2028 and lists Stacey Hicks, C.e.o./administrator, as its authorized official.

NPPES Registry Identity

NPI1609814607
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NamePRINCETON RESCUE SQUAD INC
Location Address701 STAFFORD DRPrinceton, WV 24740-2447
Mailing Address701 Stafford DrPrinceton, WV 24740-2447 · (304) 425-3914 · Fax (304) 431-3518
Phone(304) 425-3914
Fax(304) 431-3518
Organization SubpartNo
Authorized OfficialStacey HicksC.e.o./administrator · (304) 425-3914
Enumeration DateJune 2, 2006
Last NPPES UpdateOctober 17, 2012
✔ NPI 1609814607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in WV · 12810
701 STAFFORD DR, Princeton, WV 24740
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified9216441WV · Medicare Provider Number
Medicaid0146003000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

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 51D2178354

Princeton Rescue Squad Inc · Princeton, WV
Active · expires Jan 30, 2028
CLIA Number51D2178354
Laboratory TypeAmbulance
Certificate Effective DateJanuary 31, 2026
Certificate Expiration DateJanuary 30, 2028
Laboratory DirectorRandall L. Brown
Laboratory Phone(304) 425-3914
Laboratory LocationPrinceton Rescue Squad Inc701 Stafford Drive, Princeton, WV 24740
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.
44,665 services1,029 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.
1,692 services456 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.
797 services472 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.
663 services502 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 Princeton Rescue Squad Inc's NPI number?

The NPI number for Princeton Rescue Squad Inc is 1609814607. It was assigned to this organization in the NPPES registry on June 2, 2006.

Where is Princeton Rescue Squad Inc located?

Princeton Rescue Squad Inc is located at 701 Stafford Dr, Princeton, WV 24740. The listed phone number is (304) 425-3914.

What is Princeton Rescue Squad Inc's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Princeton Rescue Squad Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2178354) is associated with this NPI, valid through January 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Princeton Rescue Squad Inc accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Princeton Rescue Squad Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Princeton Rescue Squad Inc was last updated on October 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.