Organization
SULLIVAN COUNTY AUDITOR
Active
Organization
SULLIVAN COUNTY AUDITOR
Active
Other names
SULLIVAN COUNTY AMBULANCE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A DAVIS (COMMISSIONER)
(812) 564-2342
Entity
Organization
Contact information
Practice address
1816 N SECTION ST, SULLIVAN, IN 47882-7502
(812) 268-0187
(812) 268-3789
Mailing address
PO BOX 547, WHEELING, IL 60090-0547
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0001
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000186301
ANTHEM
IN
05
—
200163990A
—
IN
Enumeration date
08/05/2006
Last updated
06/12/2026
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