Bay Ridge Rescue Squad
Organization Active NPI Ambulance · Queensbury, NY
NPI 1982705554 · NPPES record last updated Sep 2, 2025
Key facts
- NPI
- 1982705554
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 5613 (NY)
- Legal business name
- BAY RIDGE RESCUE SQUAD
- Practice address
- 1109 Ridge Rd
Queensbury, NY 12804-6915 - Phone
- (518) 761-8240
- NPI assigned
- Sep 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Carline Kelly-Barnes
- Title
- Ceo
- Phone
- (518) 743-9566
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050330001076 | NY | Part B Supplier - Ambulance Service Supplier | 5395791578 | Practice locations: Queensbury, NY |
National Provider Directory
Locations
1109 Ridge Rd
Queensbury, NY 12804
Phone (518) 743-9566
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 5613 | NY | Yes |
Addresses
Primary practice location
1109 Ridge Rd
Queensbury, NY 12804-6915
Mailing address
PO Box 676
Glens Falls, NY 12801-0676
Phone (888) 603-2455
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02655461 | Medicaid | NY |
Other names
- Queensbury EMS
Other providers in Queensbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.