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POULTNEY RESCUE SQUAD INC
NPI 1619967171
Ambulance in Poultney, VT

Active since October 26, 2005
409 VT ROUTE 30 S, POULTNEY, VT 05764(802) 287-5575(802) 287-2207 Get Directions Write a Review

NPPES record last updated: May 5, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Poultney Rescue Squad Inc NPPES

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

POULTNEY RESCUE SQUAD INC (NPI 1619967171) is a healthcare organization registered as an ambulance in Poultney, Vermont and active in the NPI registry since October 2005. The organization lists Mary T Gentile, Authorized Agent, as its authorized official.

NPPES Registry Identity

NPI1619967171
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NamePOULTNEY RESCUE SQUAD INC
Location Address409 VT ROUTE 30 SPoultney, VT 05764-9015
Mailing AddressPo Box 290184Wethersfield, CT 06129-0184 · (860) 257-9201 · Fax (860) 721-6362
Phone(802) 287-5575
Fax(802) 287-2207
Organization SubpartNo
Authorized OfficialMary T GentileAuthorized Agent · (860) 257-9201
Enumeration DateOctober 26, 2005
Last NPPES UpdateMay 5, 2008
✔ NPI 1619967171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in VT · 1009
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).
409 VT ROUTE 30 S, Poultney, VT 05764
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Other Identifiers 3

Medicare PINVT6472VT
Other590008698Railroad Medicare
Medicaid0006472VT

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Poultney Rescue Squad Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateVermontEnrollment IDO20080228000193Non-DME Part B · Ambulance Service SupplierDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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.
2,751 services67 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.
57 services34 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.
27 services25 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.
14 services14 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 Poultney Rescue Squad Inc's NPI number?

The NPI number for Poultney Rescue Squad Inc is 1619967171. It was assigned to this organization in the NPPES registry on October 26, 2005.

Where is Poultney Rescue Squad Inc located?

Poultney Rescue Squad Inc is located at 409 Vt Route 30 S, Poultney, VT 05764. The listed phone number is (802) 287-5575.

What is Poultney Rescue Squad Inc's specialty?

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

Is Poultney Rescue Squad Inc enrolled in Medicare?

Yes. Poultney Rescue Squad Inc is registered in the Medicare PECOS enrollment system.

When is Poultney Rescue Squad Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Vermont, Ambulance Service Supplier) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Poultney Rescue Squad Inc was last updated on May 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.