Jackson County Ambulance Service

LBN: Jackson County
Jackson County Ambulance Service is an health care organization with primary practice located at 10169 Old Highway 13 , Murphysboro IL 62966-5534. The organization recently has 2 registered licenses in different health care specialties including Transportation Services / Land Transport, Transportation Services / Secured Medical Transport (VAN). Transportation Services / Land Transport is the primary health care specialty. Jackson County can be contacted via phone (618) 529-5158, or through Schafer, Kenton via phone (618) 529-5158.

Contact Information

Primary practice address
10169 Old Highway 13 Murphysboro IL 62966-5534
Fax: (618) 529-4387
Website:
Authorized official contact:
Name: Schafer, Kenton

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 55198 Illinois
Transportation Services / Secured Medical Transport (VAN) 343800000X 55198 Illinois

Profile Details

NPI number 1437260528
LBN Legal business name Jackson County
DBA Doing business as Jackson County Ambulance Service
Authorized official Schafer, Kenton
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jun 14th, 2023 - about last year

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 1437260528 NPPES
Illinois Other 8862812 BLACK LUNG
Illinois Other 0106019 BLACK LUNG
Illinois Other P00290482 BLACK LUNG
Illinois Other 039780118 BLACK LUNG
Illinois Other HEALTHLINK BLACK LUNG

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