Organization
COUNTY OF MOULTRIE
Active
Other names
Sullivan Fire Ambulance District
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY J FAULKNER (TREASURER S.F.P.D.)
(217) 728-8714
Entity
Organization
Contact information
Practice address
115 W HARRISON ST, SULLIVAN, IL 61951-1908
(217) 728-8714
(217) 728-7402
Mailing address
115 W HARRISON ST, SULLIVAN, IL 61951-1908
(217) 728-8714
(217) 728-7402
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
001
IL
3416A0800X
Air Ambulance
1659965
IL
Other
Enumeration date
07/19/2006
Last updated
07/21/2022
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