Provider Demographics
NPI:1477884146
Name:FULTON COUNTY GOVERNMENT
Entity Type:Organization
Organization Name:FULTON COUNTY GOVERNMENT
Other - Org Name:FULTON COUNTY EMS
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MILLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SYTSMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-223-2011
Mailing Address - Street 1:2006 E STATE ROAD 14
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:IN
Mailing Address - Zip Code:46975-9134
Mailing Address - Country:US
Mailing Address - Phone:574-223-2011
Mailing Address - Fax:574-223-2011
Practice Address - Street 1:2006 E STATE ROAD 14
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:IN
Practice Address - Zip Code:46975-9134
Practice Address - Country:US
Practice Address - Phone:574-223-2011
Practice Address - Fax:574-223-2011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-20
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN00923416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport