Organization Name: | SULLIVAN PARAMEDICINE, INC |
NPI Number: | 1053314559 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GINA BOCKMAN (VICE PRESIDENT) |
Mailing Address: | 266 Main St Hurleyville |
State: | NY US |
Postal Code: | 127475431 |
Phone Number: | 8454369111 |
Fax Number: | 8454368313 |
NPI Enumeration Date: | 05/27/2005 |
NPI Last Update Date: | 01/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 146M00000X |
License Number: | 09295 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Emergency Medical Service Providers |
Taxonomy Classification: | Emergency Medical Technician, Intermediate |
Taxonomy Specialization: | |
Taxonomy Definition: | An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |