Gouverneur Volunteer Rescue Squad INC
NPI #1245228782 in Gouverneur, New York
Provider Information
- NPI Number
- 1245228782
- Entity Type
- Organization
- Organization Name
- Gouverneur Volunteer Rescue Squad INC
- Primary Specialty
- Ambulance
- Enumeration Date
- Oct 10, 2005
- Last Updated
- Jan 6, 2015
Practice Location
- Address
- 1024 US HIGHWAY 11
- City
- Gouverneur
- State
- New York
- ZIP Code
- 13642-3507
- Phone
- (315) 287-1321
Authorized Official
- Name
- MR. MARK DEAVERS
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (315) 287-1321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
| Ambulance |
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