PORT JERVIS VOLUNTEER AMBULANCE CORPS INC; NPI #1881655264

Contact Information

PORT JERVIS VOLUNTEER AMBULANCE CORPS INC

10 BROOKLYN STREET
PORT JERVIS, NY 12771

Phone: 845-856-3033
Fax: 845-858-2312
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for PORT JERVIS VOLUNTEER AMBULANCE CORPS INC

NPI # 1881655264

LBN Legal business name PORT JERVIS VOLUNTEER AMBULANCE CORPS INC

Authorized official ROBERT LAUNT - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/28/2006

Last updated 12/11/2025 - About 6 months ago

Identifiers

NY	License #	10432
NY	Medicaid	01798874
NY	Other	590012837	MEDICARE RAILROAD

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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