Sullivan Fire Ambulance District

LBN: County Of Moultrie
Sullivan Fire Ambulance District is an health care organization with primary practice located at 115 W Harrison St , Sullivan IL 61951-1908. The organization recently has 2 registered licenses in different health care specialties including Transportation Services / Ambulance, Transportation Services / Air Transport. Transportation Services / Ambulance is the primary health care specialty. County Of Moultrie can be contacted via phone (217) 728-8714, or through Faulkner, Kelly J via phone (217) 728-8714.

Contact Information

Primary practice address
115 W Harrison St Sullivan IL 61951-1908
Phone: (217) 728-8714
Fax: (217) 728-7402
Website:
Map and Directions
Authorized official contact:
Name: Faulkner, Kelly J
Phone: (217) 728-8714

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Ambulance 341600000X 001 Illinois
Transportation Services / Air Transport 3416A0800X 1659965 Illinois

Profile Details

NPI number 1912926056
LBN Legal business name County Of Moultrie
DBA Doing business as Sullivan Fire Ambulance District
Authorized official Faulkner, Kelly J
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 21st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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