Active NPI
South Seneca Community Volunteer Ambulance Corps Inc
- Ambulance
- Ovid, NY
National Provider Identifier
1407899230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 10464
- Legal business name
- SOUTH SENECA COMMUNITY VOLUNTEER AMBULANCE CORPS INC
- Practice address
- 2011 State Route 96a
Ovid, NY 14521-9507 - Phone
- (607) 869-5313
- NPI assigned
- Jun 13, 2006
- 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
- Zachary J. Gibeau
- Title
- Director of Operations
- Phone
- (607) 869-5313
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 10464 | NY | Primary |
Addresses
Primary practice location
2011 State Route 96a
Ovid, NY 14521-9507
Mailing address
2011 State Route 96a
Ovid, NY 14521-9709
Phone (607) 869-5313
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9636201 | Other | GHI | |
| 590012050 | Other | PALMETTO-RR MEDICARE | |
| 01109833 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110216000644 | NY | Part B Supplier - Ambulance Service Supplier | 0749461242 | Practice locations: Ovid, NY |
National Provider Directory
National Provider DirectoryLocations
2011 State Route 96A
Ovid, NY 14521
Phone (607) 869-5313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767052800000",
"number": "1407899230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 STATE ROUTE 96A",
"city": "OVID",
"state": "NY",
"postal_code": "145219709",
"telephone_number": "607-869-5313",
"fax_number": "607-869-5314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 STATE ROUTE 96A",
"city": "OVID",
"state": "NY",
"postal_code": "145219507",
"telephone_number": "607-869-5313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH SENECA COMMUNITY VOLUNTEER AMBULANCE CORPS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-13",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A",
"authorized_official_last_name": "GIBEAU",
"authorized_official_first_name": "ZACHARY",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "607-869-5313"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NY",
"license": "10464",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "9636201",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO-RR MEDICARE",
"identifier": "590012050",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01109833",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ovid, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.