COUNTY OF PULASKI NPI 1043319148

NPI Information

  • NPI: 1043319148
  • Provider Name: COUNTY OF PULASKI
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • Address: 75 CAMO CLAD DR
    PULASKI COUNTY AMBULANCE
    MOUNDS, IL
    ZIP 62964
  • Phone: (618) 342-6209

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NPI Details

COUNTY OF PULASKI is a land transport ambulance in Mounds, IL. COUNTY OF PULASKI NPI is 1043319148. The provider is registered as an organization entity type.

The provider's business location address is:

75 CAMO CLAD DR
PULASKI COUNTY AMBULANCE
MOUNDS, IL
ZIP 62964
Phone: (618) 342-6209
Fax: (618) 342-6254

The provider's authorized official is Tracie Dawn Hafford .
The authorized official title is Director and has the following contact phone number (314) 677-0185.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ground mileage, per statute mile (HCPCS:A0425)
  • Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)
  • Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)

The enumeration date for this NPI number is 9/22/2006 and was last updated on 8/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1341600000XAmbulanceNo
23416L0300XAmbulanceLand TransportYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1590000202OTHERILLINOISRAIL ROAD MEDICARE
207770390OTHERILLINOISBLUE CROSS BLUE SHIELD
3371076724001MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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