1. Home
  2. Directory
  3. New York
  4. Port Jervis
  5. Ambulance
  6. NPI Profile

PORT JERVIS VOLUNTEER AMBCORPS
NPI 1013918564
Ambulance - Land Transport in Port Jervis, NY

Active since August 09, 2005CLIA 33D2007753 · Waiver
CHURCH ST. & BARCELOW ST., PORT JERVIS, NY 12271(845) 856-3033 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Port Jervis Volunteer Ambcorps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORT JERVIS VOLUNTEER AMBCORPS (NPI 1013918564) is a healthcare organization registered as a land transport in Port Jervis, New York and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Shannon A Aumick, President, as its authorized official.

NPPES Registry Identity

NPI1013918564
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NamePORT JERVIS VOLUNTEER AMBCORPS
Location AddressCHURCH ST. & BARCELOW ST.Port Jervis, NY 12271
Mailing AddressPo Box 4Port Jervis, NY 12771-0004 · (845) 856-3033
Phone(845) 856-3033
Organization SubpartNo
Authorized OfficialShannon A AumickPresident · (845) 856-7051
Enumeration DateAugust 9, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1013918564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
CHURCH ST. & BARCELOW ST., Port Jervis, NY 12271
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2007753

Port Jervis Volunteer Ambulance Corp · Port Jervis, NY
Active · expires Mar 26, 2027
CLIA Number33D2007753
Laboratory TypeAmbulance
Certificate Effective DateMay 25, 2010
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Keith W. Cartmil
Laboratory Phone(845) 856-3033
Laboratory LocationPort Jervis Volunteer Ambulance Corp10 Brooklyn St, Port Jervis, NY 12771
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Port Jervis Volunteer Ambcorps's NPI number?

The NPI number for Port Jervis Volunteer Ambcorps is 1013918564. It was assigned to this organization in the NPPES registry on August 9, 2005.

Where is Port Jervis Volunteer Ambcorps located?

Port Jervis Volunteer Ambcorps is located at Church St. & Barcelow St., Port Jervis, NY 12271. The listed phone number is (845) 856-3033.

What is Port Jervis Volunteer Ambcorps's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Port Jervis Volunteer Ambcorps hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2007753) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Port Jervis Volunteer Ambcorps was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.