Organization
CITY OF SULLIVAN
Active
Organization
CITY OF SULLIVAN
Active
Other names
Sullivan Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LEE ROBERTSON JR. (FIRE CHIEF)
(812) 268-5837
Entity
Organization
Contact information
Practice address
120 N STEWART ST, SULLIVAN, IN 47882-1678
(812) 268-5837
(812) 268-3942
Mailing address
110 N MAIN ST, SULLIVAN, IN 47882-1225
(812) 268-5837
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1023
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000281605
ANTHEM
IN
05
—
200418380A
—
IN
05
—
300131100
—
IN
01
—
P00076393
RRMC PTAN
—
Enumeration date
09/20/2006
Last updated
06/04/2026
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