Organization Active NPI

Sullivan County Auditor

Doing business as Sullivan County Health Department

  • State or Local Public Health Clinic/Center
  • Sullivan, IN
National Provider Identifier
1285363267
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
SULLIVAN COUNTY AUDITOR
Doing business as
Sullivan County Health Department
Practice address
27 S Main St
Sullivan, IN 47882-1516
Phone
(812) 268-0224
Fax
(812) 268-0423
NPI assigned
Jun 6, 2022
Last updated
Jun 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael J Gamble, MDNPI 1538183454
Title
Health Officer
Phone
(812) 699-0828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

27 S Main St
Sullivan, IN 47882-1516

Mailing address

27 S Main St
Sullivan, IN 47882-1516
Phone (812) 268-0224

Other names 1

  • Sullivan County Health Department Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2204248Sullivan County Health Department27 South Main Street, Sullivan, IN 47882Certificate of waiverDec 7, 2026

National Provider Directory

National Provider Directory
Tax ID family
Sullivan County Auditor2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

27 S Main St
Sullivan, IN 47882
Phone (812) 268-0224

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1285363267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 S MAIN ST",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478821516",
            "telephone_number": "812-268-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 S MAIN ST",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478821516",
            "telephone_number": "812-268-0224",
            "fax_number": "812-268-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN COUNTY AUDITOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "812-699-0828",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sullivan County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sullivan, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.