SULLIVAN COUNTY AMBULANCE DISTRICT (NPI# 1790781136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790781136 |
| Entity Type | Organization |
| Organization Name | SULLIVAN COUNTY AMBULANCE DISTRICT |
| Practice Address |
113 S Leewood Dr # 1 Milan MO 63556-1100 |
| Practice Telephone | 6602653553 |
| Practice Fax Number | 6602653651 |
| Mailing Telephone | 6602653553 |
| Mailing Fax Number | 6602653651 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2011-07-13 |
| Authorized Official Name | MR. MATTHEW RYAN KEUHN (ADMINISTRATOR) |
| Authorized Official Telephone | 6602653553 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
211001 | MO | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 800324808 | 05 |
| Street Address |
113 S LEEWOOD DR # 1 |
| City | MILAN |
| State | MO |
| Zip Code | 63556-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366786246 | Rolling Hills Residential Care Facility, LLC | Assisted Living Facility | 24583 Hwy 5, Milan, MO 63556 | 2012-11-16 |
| 1326160821 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 708 North Pearl, Milan, MO 63556 | 2007-04-04 |
| 1285775858 | Sullivan County Memorial Hospital | Clinic/Center | 630 W 3rd St, Milan, MO 63556 | 2007-02-08 |
| 1114008281 | Stephanie Alvera Granneman | Nurse Practitioner | 210 N Market St, Milan, MO 63556 | 2006-10-17 |
| 1801968979 | Daniel Hoelzel Crtt Inc | Durable Medical Equipment & Medical Supplies | 19269 Daisy Dr, Milan, MO 63556-0065 | 2006-11-14 |
| 1194856203 | Sullivan County Health Department | Case Management | 101 Hawthorne Dr, Milan, MO 63556-1017 | 2007-03-08 |
| 1659479061 | Thomas Edwin Williams | Family Medicine | 630 W 3rd St, Milan, MO 63556-1076 | 2006-09-20 |
| 1487005435 | Michelle Lynn Greathouse | Nurse Practitioner | 630 W 3rd St, Milan, MO 63556-1076 | 2016-06-30 |
| 1528324779 | Ryan Williams | Family Medicine | 630 W 3rd St, Milan, MO 63556-1076 | 2012-04-02 |
| 1780843623 | Martha Kay Curtis | Nurse Practitioner | 630 W 3rd St, Milan, MO 63556-1076 | 2008-06-05 |
| Find all providers in zip 63556 | ||||
| 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 |
|---|---|---|---|---|
| 1255409637 | Coyne Center Fire Protection and Ems District | Ambulance | 1624 Coyne Center Rd, Milan, IL 61264-4044 | 2006-12-01 |
| 1508975863 | Milan Rescue 30 Inc. | Ambulance | 212 Maple Street, Milan, IN 47031 | 2006-08-30 |
| 1801904966 | Fisher-titus Affiliated Services | Ambulance | 12513 Us Route 250, Milan, OH 44846 | 2006-08-29 |
| 1184841751 | Milan and Dummer Ambulance Service | Ambulance | 20 Bridge Street, Milan, NH 03588 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285275123 | Odessa Fire & Rescue Protection District | Ambulance | 301 W Dryden St, Odessa, MO 64076-1218 | 2019-10-02 |
| 1407404098 | County of Jackson Raytown Fire Protection District | Ambulance | 6020 Raytown Trfy, Raytown, MO 64133-3856 | 2019-08-28 |
| 1801268537 | New Image Nemt Ambulance Services | Ambulance | 4960 E Linwood Blvd, Kansas City, MO 64128-1801 | 2015-10-21 |
| 1013250620 | Pettis County Ambulance District | Ambulance | 210 W 4th St, Sedalia, MO 65301 | 2013-04-02 |
| 1407192404 | Inter City Fire Protection District | Ambulance | 1702 Blue Ridge Blvd, Blue Summit, MO 64126-3016 | 2012-12-19 |
| 1356692750 | Central Jackson County Fire Protection District | Ambulance | 805 Ne Jefferson St, Blue Springs, MO 64014 | 2012-09-25 |
| 1508115775 | Butler County Ems LLC | Ambulance | 4005 South Westwood Blvd, Poplar Bluff, MO 63901 | 2012-09-04 |
| 1639439961 | St. James Ambulance District | Ambulance | 203 S Louise Ave, Saint James, MO 65559-1744 | 2012-05-21 |
| 1265702971 | Central Cass County Fire & Ambulance Protection District | Ambulance | 2507 Se Outer Rd, Harrisonville, MO 64701-6366 | 2012-01-11 |
| 1376845008 | Regional Emergency Medical Services Authority | Ambulance | 5010 Frederick Ave, Saint Joseph, MO 64506-3248 | 2010-12-01 |
| Find all providers with the same taxonomy | ||||
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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.