Organization
TOWN OF HOOSICK RESCUE SQUAD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CLARKSON KERVIN II AEMT (CHIEF OF OPERATIONS)
(518) 686-4106
Entity
Organization
Contact information
Practice address
21 FIRST STREET, HOOSICK FALLS, NY 12090
(518) 686-4105
(315) 635-3289
Mailing address
PO BOX 787, LATHAM, NY 12110-0787
(888) 603-2455
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
4125
NY
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01365824
—
NY
05
—
1962490
—
VT
01
—
590007978
RAILROAD MEDICARE
—
Enumeration date
10/10/2005
Last updated
09/10/2025
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