MEDICARE: JEFFERSON TOWNSHIP VOLUNTEER AMBULANCE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	98322	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952461105
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEFFERSON TOWNSHIP VOLUNTEER AMBULANCE

Provider Business Mailing Address
First Line	:	PO BOX 1846
Second Line	:
City	:	SHAVERTOWN
State	:	PA
Zip	:	18708-0846
Country	:	US
Telephone Number	:	570-477-1900
Fax Number	:	570-608-4015

Provider Business Practice Location Address
First Line	:	1980 MOOSIC LAKE RD
Second Line	:
City	:	JEFFERSON TOWNSHIP
State	:	PA
Zip	:	18436-3203
Country	:	US
Telephone Number	:	570-698-0479
Fax Number	:	570-689-4703

Authorized Official
Title or Position	:	CAPTAIN
Name	:	DANIEL CORALLO
Credential	:
Telephone Number	:	570-840-4057

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	04/02/2020

Similar Medicare Providers

1447595483 — AKINTOLA OLAGBEMIRO
Practice Location Address:

6819 DUTCHVIEW CT
LIBERTY TOWNSHIP, OH
45044-3203

Practice Phone: 513-652-9126
Practice Fax:

1114186863 — DODI ANN BUTLER LPC
Practice Location Address:

1434 MT COBB RD
JEFFERSON TOWNSHIP, PA
18436-4504

Practice Phone: 570-878-5201
Practice Fax:

1902100449 — ERIN JAMES OT
Practice Location Address:

204 BIRCHWOOD LN
JEFFERSON TOWNSHIP, PA
18436-4643

Practice Phone: 570-313-9331
Practice Fax: 570-313-9331

1598103053 — MS. JEANNA SEBASTIANELLI MA, LBS, LPC
Practice Location Address:

17 E SHORE DR
JEFFERSON TOWNSHIP, PA
18436-3909

Practice Phone: 570-241-8453
Practice Fax:

1245606938 — SUSAN G HAYDEN MS, CCC-SLP
Practice Location Address:

1544 MOUNT COBB RD
JEFFERSON TOWNSHIP, PA
18436-3233

Practice Phone: 570-955-8655
Practice Fax:

1689127789 — KIMBERLEE LYN GEVARAS FNP
Practice Location Address:

1650 MOUNT COBB RD
JEFFERSON TOWNSHIP, PA
18436-3223

Practice Phone: 845-649-0003
Practice Fax:

Directions to “JEFFERSON TOWNSHIP VOLUNTEER AMBULANCE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.