Greenville Rescue Squad Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

10186 Issued in NY

Legal business name

GREENVILLE RESCUE SQUAD INC

Practice address

Routes 32 and 81
Greenville, NY 12083

Phone

(518) 966-8911

NPI assigned

Dec 5, 2005

Last updated

Sep 20, 2013By 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

Danielle Powell

Title

Chief

Phone

(518) 966-8911

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379635200000",
    "number": "1568446367",
    "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": "ROUTES 32 AND 81",
            "city": "GREENVILLE",
            "state": "NY",
            "postal_code": "12083",
            "telephone_number": "518-966-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2013-09-20",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "518-966-8911"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "10186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD",
            "identifier": "590011150",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01646822",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10015399",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS OF NORTHEASTERN NY",
            "identifier": "000400494001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "3200158",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "691709",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorri Ann Gardner, COTA
• Gloria Fuina Darrah Rpa
• Greenville Central School District
• Greenville Family Dental, PC (Greenville Family Dental Center)
• Greenville Medical Associate, PC
• Helderberg Home Town Family Health NP PLLC
• Walter W. Hubicki II, M.D.
• Debbie Huston, COTA
• Jennifer E Jones, CCC-SLP
• Thomas Allen Kearney, CRPA-P

• Ambulance in Greenville, NY
• Providers in Greenville, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.