MEDICARE: RUSSELL VOL FIRE DEPARTMENT

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	146N00000X	Basic Emergency Medical Technician	03389	PA

General Provider Information

NPI Number	:	1407834948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RUSSELL VOL FIRE DEPARTMENT

Provider Business Mailing Address
First Line	:	PO BOX 66
Second Line	:
City	:	RUSSELL
State	:	PA
Zip	:	16345
Country	:	US
Telephone Number	:	814-757-8211
Fax Number	:	814-757-9104

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	:	814-757-9104

Authorized Official
Title or Position	:	TREASURER
Name	:	MS. HOLLY R STRAUSSER
Credential	:
Telephone Number	:	814-757-8442

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	08/22/2020

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Directions to “RUSSELL VOL FIRE DEPARTMENT ” Practice Location

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