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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
(270) 744-9600
(270) 744-0834
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
03/13/2026
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