Rensselaer Falls Volunteer Rescue Squad Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

31068 Issued in NY

Legal business name

RENSSELAER FALLS VOLUNTEER RESCUE SQUAD INC

Practice address

424 Rensselaer Street
Rensselaer Falls, NY 13680-3164

Phone

(315) 323-2513

Fax

(315) 344-8853

NPI assigned

Oct 26, 2005

Last updated

Apr 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Blackburn

Title

Secretary of Board

Phone

(315) 854-4855

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary W Friot, EMT-CC

  • Intermediate Emergency Medical Technician
  • Rensselaer Falls, NY
  • NPI 1871866491
  NPD (past)

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1245220706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130270535",
            "telephone_number": "315-635-1789",
            "fax_number": "315-635-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 RENSSELAER STREET",
            "city": "RENSSELAER FALLS",
            "state": "NY",
            "postal_code": "136803164",
            "telephone_number": "315-323-2513",
            "fax_number": "315-344-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENSSELAER FALLS VOLUNTEER RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "SECRETARY OF BOARD",
        "authorized_official_telephone_number": "315-854-4855",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "31068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01958254",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maureen Bomyea
• Thomas Doyle, MS,PHD
• Gary W Friot, EMT-CC
• Sandra Gonyea
• Kevin Michael Reynolds
• United Helpers Care Inc
• Karena Zimmer, LMSW

• Ambulance in Rensselaer Falls, NY
• Providers in Rensselaer Falls, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.