Organization Active NPI

Clausson-Raught Community Rescue Squad Inc

Doing business as Community Rescue Squad

  • Land Ambulance
  • Copake, NY
National Provider Identifier
1316925233
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
08318 Issued in NY
Legal business name
CLAUSSON-RAUGHT COMMUNITY RESCUE SQUAD INC
Doing business as
Community Rescue Squad
Practice address
283 Mountain View Rd
Copake, NY 12516-1201
Phone
(518) 329-2200
Fax
(845) 876-7071
NPI assigned
Jan 3, 2006
Last updated
May 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Ms. Jeannie Scotti
Title
Administrator
Phone
(518) 329-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 08318 NY Primary

Addresses

Primary practice location

283 Mountain View Rd
Copake, NY 12516-1201

Mailing address

PO Box 327
Copake, NY 12516-0327
Phone (518) 329-2200

Other identifiers 1

IdentifierTypeStateIssuer
01645101MedicaidNY

Other names 1

  • Community Rescue Squad Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080606000010 NY Part B Supplier - Ambulance Service Supplier 0143390872 Practice locations: Copake, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2324528Clausson Raught Community Rescue Squad Inc283 Mountain View Rd, Copake, NY 12516Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1316925233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 327",
            "city": "COPAKE",
            "state": "NY",
            "postal_code": "125160327",
            "telephone_number": "518-329-2200",
            "fax_number": "845-876-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 MOUNTAIN VIEW RD",
            "city": "COPAKE",
            "state": "NY",
            "postal_code": "125161201",
            "telephone_number": "518-329-2200",
            "fax_number": "845-876-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAUSSON-RAUGHT COMMUNITY RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "SCOTTI",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "518-329-2200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "08318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01645101",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Rescue Squad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Copake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.