COUNTY OF PULASKI; NPI #1043319148

Contact Information

COUNTY OF PULASKI

75 CAMO CLAD DR
PULASKI COUNTY AMBULANCE
MOUNDS, IL 62964

Phone: 618-342-6209
Fax: 618-342-6254
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Land Transport	3416L0300X	59	Ambulance Service Provider
Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for COUNTY OF PULASKI

NPI Number 1043319148

LBN Legal business name COUNTY OF PULASKI

Authorized official TRACIE HAFFORD - (DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/22/2006

Last updated 08/11/2022 - About 4 years ago

Identifiers

IL	Medicaid	371076724001
IL	Other	07770390	BLUE CROSS BLUE SHIELD
IL	Other	590000202	RAIL ROAD MEDICARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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COUNTY OF PULASKI

Contact Information

Specialty

Land Transport

Ambulance

NPI Profile & details for COUNTY OF PULASKI

Reviews for COUNTY OF PULASKI