Organization Active NPI

Russell Volunteer Fire Department Inc

  • Ambulance
  • Russell, PA
National Provider Identifier
1306880539
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
03389 Issued in PA
Legal business name
RUSSELL VOLUNTEER FIRE DEPARTMENT INC
Practice address
Perrigo Lane
Russell, PA 16345
Phone
(814) 757-8211
NPI assigned
Jun 16, 2006
Last updated
Mar 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2013

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

Authorized official

Name
Mrs. Bonnie R Schwanke
Title
Ambulance Secretary/Treasurer
Phone
(814) 757-5764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 03389 PA Primary

Addresses

Primary practice location

Perrigo Lane
Russell, PA 16345

Mailing address

PO Box 66
Russell, PA 16345-0066
Phone (814) 757-8211

Other identifiers 1

IdentifierTypeStateIssuer
0008462370001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060821000293 PA Part B Supplier - Ambulance Service Supplier 2860495413 Practice locations: Russell, PA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362700800000",
    "number": "1306880539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "RUSSELL",
            "state": "PA",
            "postal_code": "163450066",
            "telephone_number": "814-757-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PERRIGO LANE",
            "city": "RUSSELL",
            "state": "PA",
            "postal_code": "16345",
            "telephone_number": "814-757-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL VOLUNTEER FIRE DEPARTMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2013-03-08",
        "status": "A",
        "authorized_official_last_name": "SCHWANKE",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "AMBULANCE SECRETARY/TREASURER",
        "authorized_official_telephone_number": "814-757-5764",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "03389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008462370001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Russell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.