Organization
SULLIVAN COUNTY MEDICAL TRANSPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY KAY BOYLL (PRESIDENT)
(812) 239-7546
Entity
Organization
Contact information
Practice address
791 E COUNTY ROAD 1175 N, FARMERSBURG, IN 47850-8012
(812) 239-7546
Mailing address
PO BOX 824, FARMERSBURG, IN 47850-0824
(812) 239-7546
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
27141A
IN
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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