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Contact Information

COUNTY OF MOULTRIE
115 W HARRISON ST
SULLIVAN, IL61951-1908
 Phone: 217-728-8714
 Fax: 217-728-7402
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
 

Air Transport

3416A0800X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for COUNTY OF MOULTRIE

NPI Number 1912926056
LBN Legal business name COUNTY OF MOULTRIE
Authorized official KELLY FAULKNER - (TREASURER S.F.P.D.)
Entity Organization
Organization subpart 1 No
Enumeration date 07/19/2006
Last updated 07/21/2022 - About 4 years ago
Identifiers
IL License # 001
IL License # 1659965
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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