PORT JERVIS VOLUNTEER AMBCORPS (NPI# 1013918564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013918564 |
Entity Type | Organization |
Organization Name | PORT JERVIS VOLUNTEER AMBCORPS |
Practice Address |
Church St. & Barcelow St. Port Jervis NY 12271 |
Mailing Address |
Po Box 4 Port Jervis NY 12771-0004 |
Practice Telephone | 8458563033 |
Mailing Telephone | 8458563033 |
Enumeration Date | 2005-08-09 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. SHANNON A AUMICK (PRESIDENT) |
Authorized Official Telephone | 8458567051 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
NY | Transportation Services |
Street Address |
CHURCH ST. & BARCELOW ST. |
City | PORT JERVIS |
State | NY |
Zip Code | 12271 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386257624 | Tonya Martinez | Counselor | 50 Lakeside Dr, Port Jervis, NY 12771-3129 | 2020-08-26 |
1164045571 | Mary Ann Ricci | Counselor | 155 West Main, Port Jervis, NY 12771 | 2020-05-20 |
1619598927 | Kamelot Inc | Clinic/Center | 67 Ball St, Port Jervis, NY 12771-2524 | 2020-04-28 |
1982236022 | Jylian Ann Jackson | Social Worker | 146 Pike Street Outpatient Clinic, Port Jervis, NY 12771 | 2020-02-06 |
1831734367 | The Sentinel of Port Jervis | Assisted Living Facility | 2247 Greenville Tpke, Port Jervis, NY 12771-3216 | 2019-11-07 |
1205486669 | Breitbeck Physician Medicine Services, PC | Physician Assistant | 160 East Main St, Port Jervis, NY 12771-2245 | 2019-09-18 |
1023673340 | B J Didonato-swingle | Licensed Practical Nurse | 24 Faith Dr, Port Jervis, NY 12771-5234 | 2019-05-02 |
1649739202 | Amanda E Westfall | Social Worker | 136 Jersey Ave, Port Jervis, NY 12771-2611 | 2019-03-13 |
1336605591 | Dominic James Costantino | Physical Therapist | 17 Franklin Street, Port Jervis, NY 12771 | 2019-02-13 |
1790270817 | Jill Catrin Mclaughlin | Nurse Practitioner | 7 Ridgeview Ln, Port Jervis, NY 12771-3515 | 2018-06-30 |
Find all providers in PORT JERVIS |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922456649 | Greenville Township Volunteer Ambulance Corps Inc | Ambulance | 1495 Greenville Turnpike, Port Jervis, NY 12771 | 2016-06-03 |
1881655264 | Port Jervis Volunteer Ambulance Corps Inc | Ambulance | 29 Church St, Port Jervis, NY 12771-2011 | 2006-03-28 |
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Find all providers with the same taxonomy |
City | PORT JERVIS |
Zip Code | 12271 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.