Organization
GOUVERNEUR VOLUNTEER RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK DEAVERS (DIRECTOR OF OPERATIONS)
(315) 287-1321
Entity
Organization
Contact information
Practice address
1024 US HIGHWAY 11, GOUVERNEUR, NY 13642-3507
(315) 287-1321
(315) 287-3954
Mailing address
892 NEW CASTLE RD, SLIPPERY ROCK, PA 16057-4228
(800) 280-5974
(724) 794-1633
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
4417
NY
343900000X
Non-emergency Medical Transport (VAN)
43946
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01640344
—
NY
01
—
02988094
NON-MEDICAL MEDICAID PROVIDER NUMBER
NY
01
—
590008863
RAILROAD MEDICARE
—
Enumeration date
10/10/2005
Last updated
01/06/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us