RUSSIAVILLE AMBULANCE SERVICE INC.; NPI #1093933228

Contact Information

RUSSIAVILLE AMBULANCE SERVICE INC.

250 N UNION ST
RUSSIAVILLE, IN 46979

Phone: 765-889-3059
Fax: 765-889-3059
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for RUSSIAVILLE AMBULANCE SERVICE INC.

NPI # 1093933228

LBN Legal business name RUSSIAVILLE AMBULANCE SERVICE INC.

Authorized official KEVIN REDDING - (DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/23/2007

Last updated 11/20/2012 - About 14 years ago

Identifiers

IN	License #	0260
IN	Medicaid	RU979390

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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