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Organization

CITY OF SULLIVAN

Active
Other names
Sullivan Fire Department
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROB ROBERTSON (FIRE CHIEF)
(812) 268-5837
Entity
Organization

Contact information

Practice address
32 N COURT ST, SULLIVAN, IN 47882-1508
(812) 268-5837
(812) 268-3942
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-0834

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
01
P00076393
RRMC PTAN
Enumeration date
09/20/2006
Last updated
03/12/2021
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