SULLIVAN EMS LTD (NPI# 1194831396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194831396 |
| Entity Type | Organization |
| Organization Name | SULLIVAN EMS LTD |
| Practice Address |
802 Pleasant St Sullivan WI 53178-9764 |
| Mailing Address |
Po Box 72140 Cedarburg WI 53012-7340 |
| Practice Telephone | 2625932333 |
| Mailing Telephone | 2623759610 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-10-10 |
| Authorized Official Name | MR. DAVID SULIK (BILLING MANAGER) |
| Authorized Official Telephone | 2623759610 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41360600 | 05 |
| Street Address |
802 PLEASANT ST |
| City | SULLIVAN |
| State | WI |
| Zip Code | 53178-9764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740356740 | Anne Mcinnis | Social Worker | 721 American Ave, Suite 501, Waukesha, WI 53178 | 2006-11-28 |
| 1891785416 | Dale P Falk | Dentist | W575 Highway 18, Sullivan, WI 53178-9520 | 2005-10-25 |
| 1174090260 | Brittany Jean Barker | Dietitian, Registered | 759 Palmyra St, Sullivan, WI 53178-9608 | 2018-10-27 |
| 1003261215 | Kristen Borski | Registered Nurse | N3791 Liberty St, Sullivan, WI 53178-9619 | 2016-04-26 |
| 1023670445 | Rabecca Catherine Cole | Social Worker | N3943 Liberty St, Sullivan, WI 53178-9624 | 2019-07-05 |
| 1639450166 | Colleen Ann Murray | Health Educator | 510 Partridge Ct, Sullivan, WI 53178-9675 | 2011-08-29 |
| 1518069467 | Beverly A Stiemke | Registered Nurse | W1136 Sunnyside Dr, Sullivan, WI 53178-9737 | 2006-09-01 |
| 1417308578 | Jennifer Mary Petersen | Licensed Practical Nurse | 417 Grove St, Sullivan, WI 53178-9770 | 2016-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423583 | Sheila Diane Lawson | In Home Supportive Care | 58 Township Road 581, Sullivan, OH 44880-9711 | 2020-09-28 |
| 1295344463 | Jason Allen Bishop | Nurse Practitioner | 373 County Road 40, Sullivan, OH 44880-9725 | 2020-07-23 |
| 1922629559 | Tiffany Nuno | Physician Assistant | 621 Tipton St, Sullivan, MO 63080-2152 | 2020-05-06 |
| 1548896392 | Megan Rebecca Hood | Massage Therapist | 607 Missouri Ave, Sullivan, MO 63080-1537 | 2020-03-12 |
| 1164055323 | Cye Sullivan Hco, LLC | Assisted Living Facility | 20 Courtyard Blvd, Sullivan, IL 61951-7001 | 2020-02-17 |
| 1023670445 | Rabecca Catherine Cole | Social Worker | N3943 Liberty St, Sullivan, WI 53178-9624 | 2019-07-05 |
| 1184285561 | Christopher James John Havlik | Dentist | 6 Hawthorne Ln, Sullivan, IL 61951-9489 | 2019-06-26 |
| 1407313406 | Courtney Rae Heine | Dietitian, Registered | 884 Acid Mine Rd, Sullivan, MO 63080-2695 | 2019-02-26 |
| 1174090260 | Brittany Jean Barker | Dietitian, Registered | 759 Palmyra St, Sullivan, WI 53178-9608 | 2018-10-27 |
| 1912493800 | Alisa Garner | Behavior Technician | 122 W Springfield Rd, Sullivan, MO 63080-1524 | 2018-07-03 |
| Find all providers in SULLIVAN | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588762884 | City of Sullivan | Ambulance | 32 N Court St, Sullivan, IN 47882-1508 | 2006-09-20 |
| 1558370189 | Sullivan County Auditor | Ambulance | 1816 N Section St, Sullivan, IN 47882-7502 | 2006-08-05 |
| 1740214758 | Medlife Inc | Ambulance | 12 N State St, Sullivan, IN 47882-1550 | 2006-07-10 |
| 1427513720 | Town of Sullivan | Ambulance | 1888 Us Hwy 1, Sullivan, ME 04664-3115 | 2019-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812041 | Village of Camp Douglas | Ambulance | 304 Center St, Camp Douglas, WI 54618-2800 | 2019-10-17 |
| 1053952614 | Focus Transport | Ambulance | 5319 N 118th Ct, Milwaukee, WI 53225-3085 | 2019-10-04 |
| 1033604061 | Town of St. Germain | Ambulance | 553 State Highway 155, St. Germain, WI 54558 | 2018-06-22 |
| 1972093706 | City of Fort Atkinson | Ambulance | 124 Milwaukee Ave W, Fort Atkinson, WI 53538 | 2018-05-17 |
| 1225536527 | Town of Long Lake | Ambulance | 3348 Wisconsin 139, Long Lake, WI 54542 | 2018-02-01 |
| 1750815619 | Boyceville Community Ambulance District | Ambulance | 504 Race St, Boyceville, WI 54725-7521 | 2017-04-18 |
| 1417492711 | Riverside Fire District | Ambulance | 1325 Schofield Ave, Schofield, WI 54476-2302 | 2016-12-23 |
| 1588106199 | Meda Care Ambulance Service, LLC | Ambulance | 535 S 92nd St, Milwaukee, WI 53214-1256 | 2016-11-14 |
| 1881044964 | Central Fire & Ems District | Ambulance | 112 W Spruce St, Abbotsford, WI 54405-9734 | 2016-06-20 |
| 1013363258 | Florence Rescue Squad Ltd | Ambulance | 747 Lake Ave, Florence, WI 54121 | 2016-05-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.