Organization Active NPI

Harrisville Rescue Squad Inc

  • Ambulance
  • Harrisville, NY
National Provider Identifier
1174513642
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0750 Issued in NY
Legal business name
HARRISVILLE RESCUE SQUAD INC
Practice address
14226 State Street
Harrisville, NY 13648-2210
Phone
(315) 543-2075
Fax
(315) 543-2106
NPI assigned
Oct 26, 2005
Last updated
Oct 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
January McIntosh
Title
Chief
Phone
(888) 603-2455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0750 NY Primary

Addresses

Primary practice location

14226 State Street
Harrisville, NY 13648-2210

Mailing address

PO Box 595
Harrisville, NY 13648
Phone (860) 257-9201

Other identifiers 2

IdentifierTypeStateIssuer
1174513642OtherNYRAILROAD MEDICARE
03026602MedicaidNY

Other names 1

  • Harrisville Rescue Squad Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1174513642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 595",
            "city": "HARRISVILLE",
            "state": "NY",
            "postal_code": "13648",
            "telephone_number": "860-257-9201",
            "fax_number": "860-563-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14226 STATE STREET",
            "city": "HARRISVILLE",
            "state": "NY",
            "postal_code": "136482210",
            "telephone_number": "315-543-2075",
            "fax_number": "315-543-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISVILLE RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "JANUARY",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "888-603-2455"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "0750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1174513642",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03026602",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrisville Rescue Squad",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Harrisville Rescue Squad",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Harrisville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.