Organization Active NPI

Jeffersonville Volunteer First Aid Corps Inc

  • Ambulance
  • Jeffersonville, NY
National Provider Identifier
1124002936
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
09442 Issued in NY
Legal business name
JEFFERSONVILLE VOLUNTEER FIRST AID CORPS INC
Practice address
49 Callicoon Center Rd
Jeffersonville, NY 12748
Phone
(845) 482-3110
Fax
(315) 635-3289
NPI assigned
Dec 5, 2005
Last updated
Mar 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Ruth Ackermann
Title
Captain
Phone
(845) 482-3110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 09442 NY Primary

Addresses

Primary practice location

49 Callicoon Center Rd
Jeffersonville, NY 12748

Mailing address

PO Box 535
Baldwinsville, NY 13027-0535
Phone (845) 482-3110

Other identifiers 3

IdentifierTypeStateIssuer
02021429MedicaidNY
9611075OtherGHI
590013786OtherPALMETTO GBA RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090825000017 NY Part B Supplier - Ambulance Service Supplier 0345394490 Practice locations: Jeffersonville, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1058818Jeffersonville Volunteer First Aid Corps49 Callicoon Center Road, Jeffersonville, NY 12748Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1124002936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130270535",
            "telephone_number": "845-482-3110",
            "fax_number": "315-635-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CALLICOON CENTER RD",
            "city": "JEFFERSONVILLE",
            "state": "NY",
            "postal_code": "12748",
            "telephone_number": "845-482-3110",
            "fax_number": "315-635-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSONVILLE VOLUNTEER FIRST AID CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "ACKERMANN",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "845-482-3110"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "09442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02021429",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9611075",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD",
            "identifier": "590013786",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.