Provider Demographics
NPI:1407834948
Name:RUSSELL VOL FIRE DEPARTMENT
Entity Type:Organization
Organization Name:RUSSELL VOL FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:R
Authorized Official - Last Name:STRAUSSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-757-8442
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:RUSSELL
Mailing Address - State:PA
Mailing Address - Zip Code:16345
Mailing Address - Country:US
Mailing Address - Phone:814-757-8211
Mailing Address - Fax:814-757-9104
Practice Address - Street 1:PERRIGO LANE
Practice Address - Street 2:
Practice Address - City:RUSSELL
Practice Address - State:PA
Practice Address - Zip Code:16345
Practice Address - Country:US
Practice Address - Phone:814-757-8211
Practice Address - Fax:814-757-9104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA03389146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA281651Medicare ID - Type Unspecified