RAVENA RESCUE SQUAD INC (NPI# 1609866094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609866094 |
| Entity Type | Organization |
| Organization Name | RAVENA RESCUE SQUAD INC |
| Practice Address |
1 Bruno Blvd Ravena NY 12143-1625 |
| Mailing Address |
107 Washington Ave Albany NY 12210-2231 |
| Practice Telephone | 5187562096 |
| Practice Fax Number | 5187566015 |
| Mailing Telephone | 8886032455 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2019-08-13 |
| Authorized Official Name | MR. BRIAN DUNICAN (AUTHORIZED AGENT) |
| Authorized Official Telephone | 8886032455 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | 0468 | NY | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01903488 | 05 | |
| RAILROAD MEDICARE | 5900012637 | 01 |
| Street Address |
1 BRUNO BLVD |
| City | RAVENA |
| State | NY |
| Zip Code | 12143-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851817027 | Bryan Dyer | Pharmacist | Cvs - Faith Plaza, Route 9w, Ravena, NY 12143 | 2017-08-18 |
| 1124475553 | Brynn Saltis | Counselor | 249 Starr Rd., Ravena, NY 12143 | 2016-05-16 |
| 1346502135 | Stephanie Marie D'esposito | Specialist | 22 Wonder-vue Drive, Ravena, NY 12143 | 2012-06-08 |
| 1316224306 | Victoria Elizabeth Tesch | Speech-Language Pathologist | 15 Mountain Rd, Ravena-coeymans-selkirk Central School District, Ravena, NY 12143 | 2011-11-04 |
| 1245513001 | Patricia Lefevre | Registered Nurse | 2025 Rt 9w, Ravena, NY 12143 | 2011-09-27 |
| 1689957425 | Sandra Doane | Registered Nurse | 2025 Rt. 9w, Ravena, NY 12143 | 2011-09-27 |
| 1750604252 | Philip M Gatti | Pharmacist | Faith Plaza, Rt-9w, Ravena, NY 12143 | 2010-03-11 |
| 1043541105 | Brian J Touhey | Pharmacist | Faith Plaza Route 9w, Ravena, NY 12143 | 2010-01-28 |
| 1306016548 | Senior Projects of Ravena,inc | Taxi | 9 Bruno Blouvard, Ravena, NY 12143 | 2008-03-04 |
| 1891973558 | Kevin Michael Mocerine | Pharmacist | Faith Plaza Rt. 9w, Ravena, NY 12143 | 2008-02-05 |
| Find all providers in zip 12143 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.