Russellville Volunteer Life Squad
NPI #1669472890 in Russellville, Ohio
Provider Information
- NPI Number
- 1669472890
- Entity Type
- Organization
- Organization Name
- Russellville Volunteer Life Squad
- Primary Specialty
- Ambulance
- Enumeration Date
- Jul 29, 2005
- Last Updated
- Mar 27, 2025
Practice Location
- Address
- 130 W SOUTH ST
- City
- Russellville
- State
- Ohio
- ZIP Code
- 45168-7504
- Phone
- (937) 373-2581
Authorized Official
- Name
- TYLAR SIMPSON
- Title
- CAPTAIN
- Phone
- (937) 515-7288
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ambulance |
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