Organization
RUSSIAVILLE AMBULANCE SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN R REDDING SR. DIRECTOR (DIRECTOR)
(765) 883-5386
Entity
Organization
Contact information
Practice address
250 N UNION ST, RUSSIAVILLE, IN 46979
(765) 889-3059
(765) 889-3059
Mailing address
250 N UNION ST, P.O. BOX 278, RUSSIAVILLE, IN 46979
(765) 889-3059
(765) 889-3059
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0260
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RU979390
—
IN
Enumeration date
04/23/2007
Last updated
11/20/2012
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