# MIDDLESEX VALLEY VOLUNTEER AMBULANCE SERVICE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639844301
- **Authorized official:** JASON C. JOHNSON (PRESIDENT)
- **Authorized official phone:** (585) 554-6657

## Contact information

- **Practice address:** 817 STATE ROUTE 245, MIDDLESEX, NY 14507
- **Practice address phone:** (585) 554-6657
- **Practice address fax:** (585) 554-1073
- **Mailing address:** 8610 MAIN STREET, WILLIAMSVILLE, NY 14221-7455
- **Mailing address phone:** (716) 704-3350
- **Mailing address fax:** (713) 247-5274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416S0300X | Water Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 08/13/2021
- **Last updated:** 08/13/2021