Russiaville Volunteer Fire Department Inc.
Organization Active NPI Land Ambulance · Russiaville, IN
NPI 1396306288 · NPPES record last updated Sep 8, 2022
Key facts
- NPI
- 1396306288
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- RUSSIAVILLE VOLUNTEER FIRE DEPARTMENT INC.
- Practice address
- 140 E Main St
Russiaville, IN 46979-9121 - Phone
- (765) 883-5200
- NPI assigned
- Jun 22, 2019
- Organization subpart
- No
Authorized official
- Name
- Dustin Redding
- Title
- Director
- Phone
- (765) 883-5200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200616001479 | IN | Part B Supplier - Ambulance Service Supplier | 6800218074 | Practice locations: Russiaville, IN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
140 E Main St
Russiaville, IN 46979-9121
Mailing address
PO Box 188
Russiaville, IN 46979-0188
Phone (765) 883-5200
Other providers in Russiaville, IN
- Optimal Audiology, LLC
- Michael Piekarski
- Martin Walter Pruss
- Rachelle Steiner, M.D.
- Russiaville Ambulance Service Inc.
- Clinton Paul Scruggs
- St Joseph Hospital and Health Center Inc
- Western School Corporation
All providers in Russiaville, IN · Land Ambulance in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.