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GRANVILLE RESCUE SQUAD, INC.
NPI 1679550990
Ambulance in Granville, NY

Active since December 28, 2005CLIA 33D2304367 · Waiver
52 E POTTER AVE, GRANVILLE, NY 12832(518) 642-1830(315) 635-3289 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2025, Feb 4, 2025, Apr 11, 2023 and 1 more (4 updates tracked since 2020).

About Granville Rescue Squad, Inc. NPPES

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

GRANVILLE RESCUE SQUAD, INC. (NPI 1679550990) is a healthcare organization registered as an ambulance in Granville, New York and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Michael Zinn, Assistant Captain, as its authorized official.

NPPES Registry Identity

NPI1679550990
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameGRANVILLE RESCUE SQUAD, INC.
Location Address52 E POTTER AVEGranville, NY 12832-1620
Mailing AddressPo Box 535Baldwinsville, NY 13027-0535 · (315) 635-1789
Phone(518) 642-1830
Fax(315) 635-3289
Organization SubpartNo
Authorized OfficialMichael ZinnAssistant Captain · (518) 642-1830
Enumeration DateDecember 28, 2005
Last NPPES UpdateDecember 15, 20254 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1679550990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in NY · 10046
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).
52 E POTTER AVE, Granville, NY 12832
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Other Identifiers 7

Other999535Mvp
Other10026607Cdphp
Medicaid01693989NY
Other00040013100Bs Of Northeastern Ny
Other9624705Ghi
Other590011367Palmetto Gba Railroad
Other1006297Vt Eds

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 33D2304367

Granville Rescue Squad · Granville, NY
Active · expires Mar 26, 2027
CLIA Number33D2304367
Laboratory TypeAmbulance
Certificate Effective DateMay 13, 2024
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Douglas Girling
Laboratory Phone(518) 642-1836
Laboratory LocationGranville Rescue Squad52 E Potter Ave, Granville, NY 12832
CLIA data matches this NPI record on: Address Name
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.
11,822 services282 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.
295 services207 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.
151 services125 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 Granville Rescue Squad, Inc.'s NPI number?

The NPI number for Granville Rescue Squad, Inc. is 1679550990. It was assigned to this organization in the NPPES registry on December 28, 2005.

Where is Granville Rescue Squad, Inc. located?

Granville Rescue Squad, Inc. is located at 52 E Potter Ave, Granville, NY 12832. The listed phone number is (518) 642-1830.

What is Granville Rescue Squad, Inc.'s specialty?

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

Does Granville Rescue Squad, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2304367) 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 Granville Rescue Squad, Inc. was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.