MEDICARE: RICHMOND VOLUNTEER FIRE AND RESCUE COMPANY, 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

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	590013933	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	001705127	OTHER	OH	MT STATE
3	000000221443	OTHER	OH	ANTHEM
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861408189
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHMOND VOLUNTEER FIRE AND RESCUE COMPANY, INC.

Provider Business Mailing Address
First Line	:	836 4TH AVE
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25701-1407
Country	:	US
Telephone Number	:	800-676-4785
Fax Number	:

Provider Business Practice Location Address
First Line	:	7452 ST
Second Line	:	RTE 152
City	:	RICHMOND
State	:	OH
Zip	:	43944-9703
Country	:	US
Telephone Number	:	740-765-5390
Fax Number	:

Authorized Official
Title or Position	:	CAPTAIN
Name	:	ERIC A JEFFERS
Credential	:
Telephone Number	:	740-282-9766

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	01/10/2013

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Directions to “RICHMOND VOLUNTEER FIRE AND RESCUE COMPANY, INC. ” Practice Location

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