The Fairfield AmVets Community Ambulance Service was organized in March 1976 by a small group of citizens who recognized the need for Emergency Medical Services in the Fairfield, Cashtown, and Orrtanna areas. On March 25, 1976, a 1971 Oldsmobile ambulance was purchased from an ambulance corps in Union Bridge, Maryland, with funds provided by the Fairfield AmVets Post 172, given the designation of Ambulance 2-A, and housed in the Fairfield Fire Company's engine house.
      On June 13, 1976, the ambulance corps leased a plot of land on Steelman Street from the Borough of Fairfield, which was used to construct a 28 x 60 foot building, which was completed in December 1976. In 1980, the Borough of Fairfield gave the property to the ambulance corps. In 1977, the first ambulance was demolished while responding to a call and as a result, a 1975 Dodge Van conversion was purchased from the Fayetteville Fire Company, and became known as Ambulance 2-A.
     In 1977, the ambulance corps purchased a Ford Type III ambulance as a second ambulance, and this became the first "2-A-1." The ambulance corps received Voluntary Ambulance Service Certification in October 1977. In 1979, a 1977 Road Rescue Modular on a Ford chassis was purchased to replace the 1975 Dodge and became known as Ambulance 2-A.      The ambulance service was selected in December 1978 as the recipient of the Adams County Medical Society's Benjamin Rush award. In 1982, a Chevrolet/Swab was purchased. In 1984, another Chevrolet/Swab ambulance was purchased to replace the 1977 Ford Type III ambulance. In 1989, the ambulance corps purchased a 1989 Ford/Road Rescue to replace the 1982 Chevrolet/Swab and was given the designation Ambulance 2-A. In 1991, a second Ford/Road Rescue was purchased to replace the 1984 Chevrolet/Swab. This became known as Ambulance 2-A-1.
      In October 1999, Fairfield Fire & EMS took delivery of a 1999 PL Custom Type III ambulance built on a Ford E-450 chassis with the designation of Ambulance 2-A, which replaced the 1989 Ford/Road Rescue. This ambulance was delivered with a new striping and color scheme, which is teal and white with a "starburst" on the rear of each side, and a "Z-Pattern" to match that of Engine/Rescue 2. The previous color scheme had been lime-green and white, with stripes across the center, bottom and top of the box. Due to the merger, Ambulance 2-A-1 needed to be re-lettered. Removing the previous gold-leaf lettering would require touch up painting, so it was decided to completely repaint it to match Ambulance 2-A by using the teal and white color scheme with the star-burst and the Z-pattern stripes. This was completed in October 2000.