Active NPI
Sullivan County Auditor
Doing business as Sullivan County Health Department
- State or Local Public Health Clinic/Center
- Sullivan, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- State or Local Public Health Clinic/Center
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael J Gamble, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2204248 | Sullivan County Health Department | Certificate of waiver | Dec 7, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Sullivan County Auditor
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Sullivan County Ambulance Service
- Land Ambulance
- Sullivan, IN
- NPI 1558370189
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.
-
- Emergency Medicine Physician
- Linton, IN
- NPI 1538183454
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
- Solidago Dialysis, LLC (Sullivan Dialysis)
- Southwest School Corporation
- Amy Nicole Sparks, FNP-C
- John Michael Steele, DDS
- Johannah Stringfellow, CCC-SLP
- Sullivan County Auditor (Sullivan County Ambulance Service)
- Sullivan County Community Hospital (FPA Quickcare)
- Sullivan County Community Hospital (Family Practice Associates of Sullivan County)
- Sullivan County Community Hospital
- Sullivan County Community Hospital
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.