RUSSELLVILLE VOLUNTEER LIFE SQUAD (NPI# 1669472890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669472890 |
| Entity Type | Organization |
| Organization Name | RUSSELLVILLE VOLUNTEER LIFE SQUAD |
| Practice Address |
107 North Kendle St Russellville OH 45168 |
| Mailing Address |
Po Box 621005 Cincinnati OH 45262-1005 |
| Practice Telephone | 9373732581 |
| Mailing Telephone | 8009621484 |
| Mailing Fax Number | 5137724464 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2013-06-10 |
| Authorized Official Name | TINA JODREY (EMS SECTY) |
| Authorized Official Telephone | 9372917850 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RAILROAD MEDICARE | 590014125 | 01 |
| OH | 2065205 | 05 | |
| OH | ANTHEM | 000000020170 | 01 |
| Street Address |
107 NORTH KENDLE ST |
| City | RUSSELLVILLE |
| State | OH |
| Zip Code | 45168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790114932 | Stephanie Jean Wardlow | Registered Nurse | 50 Highland S, Russellville, OH 45168-1503 | 2013-11-07 |
| 1568724060 | Brandy Michelle Pollitt | Licensed Practical Nurse | 260 W Main St, Russellville, OH 45168-8730 | 2012-06-11 |
| 1619255098 | Beth Haas | Registered Nurse | 9764 State Route 125, Russellville, OH 45168-8941 | 2011-08-02 |
| 1659811396 | Tyler James Mason | Registered Nurse | 5942 Huff Hill Rd, Russellville, OH 45168-8961 | 2017-02-28 |
| 1063982932 | Lori Reed | Licensed Practical Nurse | 8225 Russellville Winchester Rd, Russellville, OH 45168-9728 | 2018-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1881293975 | Jeana Corleen Anderson | Massage Therapist | 2621 W Main St Ste 9, Russellville, AR 72801-2551 | 2020-10-20 |
| 1437761806 | Sarah Alain Gumm | Social Worker | 701 E Main St Ste 11, Russellville, AR 72801-5209 | 2020-08-18 |
| 1922625755 | Mackenzie Skelton | Occupational Therapy Assistant | 300 W 21st St, Russellville, AR 72801-7321 | 2020-06-27 |
| 1902420995 | Jessica Marie Keeran | Speech-Language Pathologist | 13600 Route C, Russellville, MO 65074-2033 | 2020-06-04 |
| 1083238141 | Dr R Anesthesia & Pain Management Pa | Pain Medicine | 1660 West C Place, Russellville, AR 72801-2705 | 2020-06-04 |
| 1821610171 | Courageous Journey Psychological Services, LLC | Clinic/Center | 168 Bluefish Ave, Russellville, AR 72802-2407 | 2020-05-09 |
| 1356975890 | William John Cobb | Pharmacist | 108 Skyline Dr Ste B, Russellville, AR 72801-3306 | 2020-02-24 |
| 1316587850 | Friends of Freedom House Inc. | Counselor | 404 Lake Front Drive, Russellville, AR 72802 | 2020-01-13 |
| 1679113583 | Dm Parks Inc., Dba Comfort Keepers | In Home Supportive Care | 5068 N Arkansas Ave, Russellville, AR 72802-8325 | 2020-01-08 |
| Find all providers in RUSSELLVILLE | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767538 | Southern Mercer County Joint Ambulance District | Ambulance | 436 Western Ave, Saint Henry, OH 45883 | 2020-10-12 |
| 1689271942 | Jefferson Township Trustees | Ambulance | 2119 State Route 598, Galion, OH 44833-9585 | 2020-10-08 |
| 1407481153 | Cassell Station Volunteer Fire Dept Inc | Ambulance | 4500 Peters Creek Rd, Cambridge, OH 43725-9385 | 2020-03-03 |
| 1114551488 | Elite Medical Transportation 2 LLC | Ambulance | 425 W Schrock Rd Ste B1, Westerville, OH 43081-8718 | 2020-02-26 |
| 1528692142 | Rural Metro Fire Dept Inc | Ambulance | 4925 Sawyer Rd, Columbus, OH 43219-1846 | 2020-02-24 |
| 1669002622 | Village of Byesville | Ambulance | 212 Seneca Ave, Byesville, OH 43723-1334 | 2020-01-17 |
| 1598305203 | Rayland Volunteer Fire Department | Ambulance | 115 Warren Street, Rayland, OH 43943 | 2020-01-10 |
| 1558904482 | Hopedale Volunteer Fire Department Inc. | Ambulance | 103 Firehouse Ln, Hopedale, OH 43976-9788 | 2019-10-23 |
| 1356906077 | Liberty Township Trustees | Ambulance | 7761 Liberty Rd N, Powell, OH 43065-8998 | 2019-05-08 |
| 1649737495 | Cincinnati Medical Transport LLC | Ambulance | 4779 Hillside Ave, Cincinnati, OH 45233-1616 | 2019-02-28 |
| Find all providers with the same taxonomy | ||||
| City | RUSSELLVILLE |
| Zip Code | 45168 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.