MEDICARE: RUSSELL VOLUNTEER FIRE DEPARTMENT INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	03389	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306880539
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RUSSELL VOLUNTEER FIRE DEPARTMENT INC

Provider Business Mailing Address
First Line	:	PO BOX 66
Second Line	:
City	:	RUSSELL
State	:	PA
Zip	:	16345-0066
Country	:	US
Telephone Number	:	814-757-8211
Fax Number	:

Provider Business Practice Location Address
First Line	:	PERRIGO LANE
Second Line	:
City	:	RUSSELL
State	:	PA
Zip	:	16345
Country	:	US
Telephone Number	:	814-757-8211
Fax Number	:

Authorized Official
Title or Position	:	AMBULANCE SECRETARY/TREASURER
Name	:	MRS. BONNIE R SCHWANKE
Credential	:
Telephone Number	:	814-757-5764

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	03/08/2013

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Directions to “RUSSELL VOLUNTEER FIRE DEPARTMENT INC ” Practice Location

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