Healthcare Provider Details

I. General information

NPI: 1124858873
Provider Name (Legal Business Name): RURAL RESCUE EMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2024
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3749 ERIE CHURCH RD
BEDFORD IN
47421-7616
US

IV. Provider business mailing address

PO BOX 18533
PITTSBURGH PA
15236-0533
US

V. Phone/Fax

Practice location:
  • Phone: 765-867-8758
  • Fax:
Mailing address:
  • Phone: 800-249-0544
  • Fax: 724-234-4703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER CREE
Title or Position: OWNER
Credential: EMT BASIC
Phone: 765-867-8758