Town of Hoosick Rescue Squad, Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

4125 Issued in NY

Legal business name

TOWN OF HOOSICK RESCUE SQUAD, INC

Practice address

21 First Street
Hoosick Falls, NY 12090

Phone

(518) 686-4105

Fax

(315) 635-3289

NPI assigned

Oct 10, 2005

Last updated

Sep 10, 2025By 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. John Clarkson Kervin II, AEMT

Title

Chief of Operations

Phone

(518) 686-4106

Specialties & licenses 2

Addresses

Other identifiers 3

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

Locations

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1962490409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121100787",
            "telephone_number": "888-603-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 FIRST STREET",
            "city": "HOOSICK FALLS",
            "state": "NY",
            "postal_code": "12090",
            "telephone_number": "518-686-4105",
            "fax_number": "315-635-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF HOOSICK RESCUE SQUAD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "KERVIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CLARKSON",
        "authorized_official_title_or_position": "CHIEF OF OPERATIONS",
        "authorized_official_telephone_number": "518-686-4106",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "AEMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "4125",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962490",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590007978",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01365824",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Hoosick Falls, NY
• Providers in Hoosick 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 Sep 10, 2025; 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.