MEDICARE: JEFFERSONVILLE VOLUNTEER FIRST AID CORPS INC

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	341600000X	Ambulance	09442	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	9611075	OTHER	GHI
3	590013786	OTHER	PALMETTO GBA RAILROAD

General Provider Information

NPI Number	:	1124002936
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEFFERSONVILLE VOLUNTEER FIRST AID CORPS INC

Provider Business Mailing Address
First Line	:	PO BOX 535
Second Line	:
City	:	BALDWINSVILLE
State	:	NY
Zip	:	13027-0535
Country	:	US
Telephone Number	:	845-482-3110
Fax Number	:	315-635-3289

Provider Business Practice Location Address
First Line	:	49 CALLICOON CENTER RD
Second Line	:
City	:	JEFFERSONVILLE
State	:	NY
Zip	:	12748
Country	:	US
Telephone Number	:	845-482-3110
Fax Number	:	315-635-3289

Authorized Official
Title or Position	:	CAPTAIN
Name	:	RUTH ACKERMANN
Credential	:
Telephone Number	:	845-482-3110

Provider Enumeration Date	:	12/05/2005
Last Update Date	:	03/20/2026

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