Russiaville Ambulance Service Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0260 Issued in IN

Legal business name

RUSSIAVILLE AMBULANCE SERVICE INC.

Practice address

250 N Union St
Russiaville, IN 46979

Phone

(765) 889-3059

Fax

(765) 889-3059

NPI assigned

Apr 23, 2007

Last updated

Nov 20, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kevin R Redding Sr., DIRECTOR

Title

Director

Phone

(765) 883-5386

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1093933228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N UNION ST",
            "address_2": "P.O. BOX 278",
            "city": "RUSSIAVILLE",
            "state": "IN",
            "postal_code": "46979",
            "telephone_number": "765-889-3059",
            "fax_number": "765-889-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N UNION ST",
            "city": "RUSSIAVILLE",
            "state": "IN",
            "postal_code": "46979",
            "telephone_number": "765-889-3059",
            "fax_number": "765-889-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSIAVILLE AMBULANCE SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "REDDING",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "765-883-5386",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherri C Nuss, MD
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• Michael Piekarski
• Martin Walter Pruss, MD
• Rachelle Steiner, M.D.
• Russiaville Volunteer Fire Department Inc.
• Clinton Paul Scruggs, D.O.
• St Joseph Hospital and Health Center Inc (Ascension St. Vincent Kokomo)
• Western School Corporation

• Land Ambulance in Russiaville, IN
• Providers in Russiaville, IN by specialty
• Land Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.