County Of Pulaski

LBN: County Of Pulaski
County Of Pulaski is an health care organization with primary practice located at 75 Camo Clad Dr Pulaski County Ambulance, Mounds IL 62964. The organization recently has 2 registered licenses in different health care specialties including Transportation Services / Ambulance, Transportation Services / Land Transport. Transportation Services / Land Transport is the primary health care specialty. County Of Pulaski can be contacted via phone (618) 342-6209, or through Hafford, Tracie Dawn via phone (314) 677-0185.

Contact Information

Primary practice address
75 Camo Clad Dr Pulaski County Ambulance Mounds IL 62964
Phone: (618) 342-6209
Fax: (618) 342-6254
Website:
Map and Directions
Authorized official contact:
Name: Hafford, Tracie Dawn
Phone: (314) 677-0185

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Ambulance 341600000X
Transportation Services / Land Transport 3416L0300X

Profile Details

NPI number 1043319148
LBN Legal business name County Of Pulaski
DBA Doing business as
Authorized official Hafford, Tracie Dawn
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Aug 11th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043319148 NPPES
Illinois Other 590000202 RAIL ROAD MEDICARE
Illinois Other 07770390 RAIL ROAD MEDICARE
Illinois MEDICAID 371076724001 RAIL ROAD MEDICARE

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