# SUTTON AMBULANCE SERVICE LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437199189
- **Authorized official:** BETTY SUTTON (OWNER)
- **Authorized official phone:** (217) 824-2275

## Contact information

- **Practice address:** 327 N CLAY ST, TAYLORVILLE, IL 62568-1801
- **Practice address phone:** (217) 824-2275
- **Practice address fax:** (217) 824-2275
- **Mailing address:** 327 N CLAY ST, TAYLORVILLE, IL 62568-1801
- **Mailing address phone:** (217) 824-2275
- **Mailing address fax:** (217) 824-2275

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 33011 | IL | Yes |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 01/29/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01132006 | BCBS | IL |