Active NPI
Jeffersonville Volunteer First Aid Corps Inc
- Ambulance
- Jeffersonville, NY
National Provider Identifier
1124002936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 09442
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02021429 | Medicaid | NY | |
| 9611075 | Other | GHI | |
| 590013786 | Other | PALMETTO GBA RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090825000017 | NY | Part B Supplier - Ambulance Service Supplier | 0345394490 | Practice locations: Jeffersonville, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1058818 | Jeffersonville Volunteer First Aid Corps | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.