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Organization Active NPI

Port Jervis Volunteer Ambcorps

  • Land Ambulance
  • Port Jervis, NY
National Provider Identifier
1013918564
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
PORT JERVIS VOLUNTEER AMBCORPS
Practice address
Church St. & Barcelow St.
Port Jervis, NY 12271
Phone
(845) 856-3033
NPI assigned
Aug 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Shannon A Aumick
Title
President
Phone
(845) 856-7051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NY Primary

Addresses

Primary practice location

Church St. & Barcelow St.
Port Jervis, NY 12271

Mailing address

PO Box 4
Port Jervis, NY 12771-0004
Phone (845) 856-3033

National Provider Directory

National Provider Directory
Tax ID family
Port Jervis Volunteer Ambcorps2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013918564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127710004",
            "telephone_number": "845-856-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHURCH ST. & BARCELOW ST.",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "12271",
            "telephone_number": "845-856-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT JERVIS VOLUNTEER AMBCORPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AUMICK",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-856-7051",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jervis, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.