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PETERSBURGH RESCUE AMBULANCE SQUAD INC
NPI 1992795462
Ambulance in Petersburgh, NY

Active since October 26, 2005CLIA 33D2282872 · Waiver
2 TWIN HILL ROAD, PETERSBURGH, NY 12138(518) 658-0113 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 16, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Petersburgh Rescue Ambulance Squad Inc NPPES

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

PETERSBURGH RESCUE AMBULANCE SQUAD INC (NPI 1992795462) is a healthcare organization registered as an ambulance in Petersburgh, 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 Lisa Adrion, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1992795462
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NamePETERSBURGH RESCUE AMBULANCE SQUAD INC
Location Address2 TWIN HILL ROADPetersburgh, NY 12138-0164
Mailing AddressPo Box 535Baldwinsville, NY 13027-0535 · (800) 927-5845 · Fax (315) 635-3289
Phone(518) 658-0113
Organization SubpartNo
Authorized OfficialLisa AdrionTreasurer · (518) 892-8005
Enumeration DateOctober 26, 2005
Last NPPES UpdateJanuary 22, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2024
✔ NPI 1992795462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in NY · 4129
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).
2 TWIN HILL ROAD, Petersburgh, NY 12138
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Other Identifiers 2

Medicaid01632053NY
Other590015290Railroad Medicare

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 33D2282872

Petersburgh Rescue Ambulance Squad Inc · Petersburgh, NY
Active · expires Mar 26, 2027
CLIA Number33D2282872
Laboratory TypeAmbulance
Certificate Effective DateMay 26, 2023
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. James E. Carroll
Laboratory Phone(518) 658-2626
Laboratory LocationPetersburgh Rescue Ambulance Squad Inc2 Twin Hill Rd, Petersburgh, NY 12138
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 2

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.
504 services13 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.
24 services13 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 Petersburgh Rescue Ambulance Squad Inc's NPI number?

The NPI number for Petersburgh Rescue Ambulance Squad Inc is 1992795462. It was assigned to this organization in the NPPES registry on October 26, 2005.

Where is Petersburgh Rescue Ambulance Squad Inc located?

Petersburgh Rescue Ambulance Squad Inc is located at 2 Twin Hill Road, Petersburgh, NY 12138. The listed phone number is (518) 658-0113.

What is Petersburgh Rescue Ambulance Squad Inc's specialty?

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

Does Petersburgh Rescue Ambulance Squad Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2282872) 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 Petersburgh Rescue Ambulance Squad Inc was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.