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NPI Code Detail

MEDICARE: RUSH SPRINGS EMS

MEDICARE: RUSH SPRINGS EMS
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
13416L0300XLand Ambulance

Other Identifiers

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

General Provider Information

NPI Number : 1316923709
Entity Type Code : Organization
Provider Name (Legal Business Name) : RUSH SPRINGS EMS
Provider Business Mailing Address
First Line : PO BOX 708
Second Line :
City : RUSH SPRINGS
State : OK
Zip : 73082-0708
Country : US
Telephone Number : 580-476-3438
Fax Number :
Provider Business Practice Location Address
First Line : 201 W BLAKELY
Second Line :
City : RUSH SPRINGS
State : OK
Zip : 73082
Country : US
Telephone Number : 580-476-3438
Fax Number :
Authorized Official
Title or Position : OPERATIONS MANAGER RSEMS
Name : MR. KEVIN WAYNE TRUSTY
Credential : NATIONALLY REGISTERE
Telephone Number : 580-476-6438
Provider Enumeration Date : 12/19/2005
Last Update Date : 04/20/2016

Similar Medicare Providers

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Practice Location Address:
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1982947644 — MRS. MEGAN RENEE RAINES ATC, LPTA
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Practice Fax:
1083003750 — MONICA MINDEMANN
Practice Location Address:
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1548978547 — ABIGAIL BALLARD MA, CCC-SLP
Practice Location Address:
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Directions to “RUSH SPRINGS EMS ” Practice Location

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