Organization Active NPI

South Seneca Community Volunteer Ambulance Corps Inc

  • Ambulance
  • Ovid, NY
National Provider Identifier
1407899230
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
10464 Issued in NY
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

Updated by the provider on Dec 30, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9636201OtherGHI
590012050OtherPALMETTO-RR MEDICARE
01109833MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110216000644 NY Part B Supplier - Ambulance Service Supplier 0749461242 Practice locations: Ovid, NY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.