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SULLIVAN COUNTY AMBULANCE DISTRICT
NPI 1790781136
Ambulance - Land Transport in Milan, MO

Active since June 21, 2005CLIA 26D0961413 · Waiver
113 S LEEWOOD DR, # 1, MILAN, MO 63556(660) 265-3553(660) 265-3651 Get Directions Write a Review

NPPES record last updated: July 13, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sullivan County Ambulance District NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SULLIVAN COUNTY AMBULANCE DISTRICT (NPI 1790781136) is a healthcare organization registered as a land transport in Milan, Missouri and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists Matthew Ryan Keuhn, Administrator, as its authorized official.

NPPES Registry Identity

NPI1790781136
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameSULLIVAN COUNTY AMBULANCE DISTRICT
Location Address113 S LEEWOOD DR, # 1Milan, MO 63556-1100
Mailing Address113 S Leewood Dr, # 1Milan, MO 63556-1100 · (660) 265-3553 · Fax (660) 265-3651
Phone(660) 265-3553
Fax(660) 265-3651
Organization SubpartNo
Authorized OfficialMatthew Ryan KeuhnAdministrator · (660) 265-3553
Enumeration DateJune 21, 2005
Last NPPES UpdateJuly 13, 2011
✔ NPI 1790781136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in MO · 211001
113 S LEEWOOD DR, Milan, MO 63556
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified000008699MO · Medicare Provider Number
Medicaid800324808MO

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0961413

Sullivan County Ambulance District · Milan, MO
Active · expires Jun 6, 2027
CLIA Number26D0961413
Laboratory TypeOther
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorMatt Keuhn
Laboratory Phone(660) 265-3553
Laboratory LocationSullivan County Ambulance District113 S Leewood Drive, Milan, MO 63556
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
9,954 services189 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
219 services153 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
91 services58 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sullivan County Ambulance District's NPI number?

The NPI number for Sullivan County Ambulance District is 1790781136. It was assigned to this organization in the NPPES registry on June 21, 2005.

Where is Sullivan County Ambulance District located?

Sullivan County Ambulance District is located at 113 S Leewood Dr # 1, Milan, MO 63556. The listed phone number is (660) 265-3553.

What is Sullivan County Ambulance District's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Sullivan County Ambulance District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0961413) is associated with this NPI, valid through June 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sullivan County Ambulance District was last updated on July 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.