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
Phone: (618) 529-5158
Fax: (618) 529-4387
Website:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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