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

NPI Status: Active since August 09, 2005

Contact Information

CHURCH ST. & BARCELOW ST.
PORT JERVIS, NY
ZIP 12271
Phone: (845) 856-3033

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  • Organization
  • Ambulance
  • Land Transport
  • CLIA Number: 33D2012193
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About PORT JERVIS VOLUNTEER AMBCORPS

This page provides the complete NPI Profile along with additional information for Port Jervis Volunteer Ambcorps, a provider established in Port Jervis, New York operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1013918564 assigned on August 2005. The practitioner's primary taxonomy code is 3416L0300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Shannon A Aumick (President)

NPI
1013918564
Provider Name
PORT JERVIS VOLUNTEER AMBCORPS
Entity Type
Organization
Location Address
CHURCH ST. & BARCELOW ST. PORT JERVIS, NY 12271
Location Phone
(845) 856-3033
Mailing Address
PO BOX 4 PORT JERVIS, NY 12771
Mailing Phone
(845) 856-3033
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-09-2005
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ambulance Land Transport

Taxonomy Code
3416L0300X
Type
Transportation Services
License State
NY

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. SHANNON A AUMICK

Authorized Official Title
PRESIDENT
Authorized Official Phone
(845) 856-7051

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2012193
Facility Type
Community Clinic
Certificate Effective Date
July 15, 2014
Certificate Expiration Date
May 22, 2026
Laboratory Director
SAXENA RAKHEE
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Port Jervis Volunteer Ambcorps on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013918564, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 8 → 16 → 7 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 1 + 8 + 1 + 1 + 6 + 5 + 1 + 2 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1013918564.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013918564, enumerated as an "organization" on August 09, 2005.

The provider is located at CHURCH ST. & BARCELOW ST. PORT JERVIS, NY 12271 and the phone number is (845) 856-3033.

Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.