MEDICARE: WOODSTOCK FIRE DISTRICT

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

General Provider Information

NPI Number	:	1063304129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOODSTOCK FIRE DISTRICT

Provider Business Mailing Address
First Line	:	8610 MAIN ST
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-7455
Country	:	US
Telephone Number	:	716-204-3350
Fax Number	:	716-247-5274

Provider Business Practice Location Address
First Line	:	242 TINKER ST
Second Line	:
City	:	WOODSTOCK
State	:	NY
Zip	:	12498-1129
Country	:	US
Telephone Number	:	845-679-9955
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY/TREASURER
Name	:	JUDY PETERS
Credential	:
Telephone Number	:	845-679-9955

Provider Enumeration Date	:	07/15/2025
Last Update Date	:	07/15/2025

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Directions to “WOODSTOCK FIRE DISTRICT ” Practice Location

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