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WATERFORD RESCUE SQUAD INC
NPI 1629090576
Ambulance in Waterford, NY

Active since July 23, 2006CLIA 33D2040201 · Waiver
46 4TH ST, WATERFORD, NY 12188(518) 237-2473(518) 235-0084 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Waterford Rescue Squad Inc NPPES

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

WATERFORD RESCUE SQUAD INC (NPI 1629090576) is a healthcare organization registered as an ambulance in Waterford, New York and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Tracy Ann Weir, Coo, as its authorized official.

NPPES Registry Identity

NPI1629090576
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameWATERFORD RESCUE SQUAD INC
Location Address46 4TH STWaterford, NY 12188-2327
Mailing AddressPo Box 535Baldwinsville, NY 13027-0535 · (315) 635-1789 · Fax (315) 635-3289
Phone(518) 237-2473
Fax(518) 235-0084
Organization SubpartNo
Authorized OfficialTracy Ann WeirCoo · (518) 237-2473
Enumeration DateJuly 23, 2006
Last NPPES UpdateSeptember 17, 2020
NPPES CertifiedSeptember 17, 2020
✔ NPI 1629090576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in NY · 10789
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).
46 4TH ST, Waterford, NY 12188
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Other Identifiers 4

Medicaid01470364NY
Other590008498Palmetto Gba Rr Medicare
Other10019558Cdphp
Other9602402Ghi

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 33D2040201

Waterford Rescue Squad Inc · Waterford, NY
Active · expires Mar 26, 2027
CLIA Number33D2040201
Laboratory TypeAmbulance
Certificate Effective DateApril 25, 2012
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Bruce S. Ushkow
Laboratory Phone(518) 237-2473
Laboratory LocationWaterford Rescue Squad Inc46 4th Street, Waterford, NY 12188
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.
1,125 services73 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.
65 services53 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.
47 services30 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 Waterford Rescue Squad Inc's NPI number?

The NPI number for Waterford Rescue Squad Inc is 1629090576. It was assigned to this organization in the NPPES registry on July 23, 2006.

Where is Waterford Rescue Squad Inc located?

Waterford Rescue Squad Inc is located at 46 4th St, Waterford, NY 12188. The listed phone number is (518) 237-2473.

What is Waterford Rescue Squad Inc's specialty?

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

Does Waterford Rescue Squad Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2040201) 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 Waterford Rescue Squad Inc was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.