Organization Name: | SUTTON AMBULANCE SERVICE LTD |
NPI Number: | 1437199189 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BETTY SUTTON (OWNER) |
Mailing Address: | 327 N Clay St Taylorville |
State: | IL US |
Postal Code: | 625681801 |
Phone Number: | 2178242275 |
Fax Number: | 2178242275 |
NPI Enumeration Date: | 06/08/2006 |
NPI Last Update Date: | 01/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 33011 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |