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RAVENA RESCUE SQUAD INC
NPI 1609866094
Ambulance in Ravena, NY

Active since October 26, 2005CLIA 33D2309179 · Waiver
1 BRUNO BLVD, RAVENA, NY 12143(518) 756-2096(518) 756-6015 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ravena Rescue Squad Inc NPPES

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

RAVENA RESCUE SQUAD INC (NPI 1609866094) is a healthcare organization registered as an ambulance in Ravena, 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 Brian Dunican, Authorized Agent, as its authorized official.

NPPES Registry Identity

NPI1609866094
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameRAVENA RESCUE SQUAD INC
Location Address1 BRUNO BLVDRavena, NY 12143-1625
Mailing Address107 Washington AveAlbany, NY 12210-2231 · (888) 603-2455
Phone(518) 756-2096
Fax(518) 756-6015
Organization SubpartNo
Authorized OfficialBrian DunicanAuthorized Agent · (888) 603-2455
Enumeration DateOctober 26, 2005
Last NPPES UpdateAugust 13, 2019
✔ NPI 1609866094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in NY · 0468
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).
1 BRUNO BLVD, Ravena, NY 12143
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Other Identifiers 2

Other5900012637Railroad Medicare
Medicaid01903488NY

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 33D2309179

Ravena Rescue Squad Inc · Ravena, NY
Active · expires Mar 26, 2027
CLIA Number33D2309179
Laboratory TypeAmbulance
Certificate Effective DateAugust 12, 2024
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Stephen G. Hassett
Laboratory Phone(518) 756-2096
Laboratory LocationRavena Rescue Squad Inc1 Bruno Blvd, Ravena, NY 12143
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.
2,609 services107 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.
94 services71 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.
78 services53 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 Ravena Rescue Squad Inc's NPI number?

The NPI number for Ravena Rescue Squad Inc is 1609866094. It was assigned to this organization in the NPPES registry on October 26, 2005.

Where is Ravena Rescue Squad Inc located?

Ravena Rescue Squad Inc is located at 1 Bruno Blvd, Ravena, NY 12143. The listed phone number is (518) 756-2096.

What is Ravena Rescue Squad Inc's specialty?

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

Does Ravena Rescue Squad Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2309179) 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 Ravena Rescue Squad Inc was last updated on August 13, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.