JACKSON COUNTY NPI 1437260528

NPI Information

  • NPI: 1437260528
  • Provider Name: JACKSON COUNTY
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • Doing Business As: JACKSON COUNTY AMBULANCE SERVICE
  • CLIA Number: 14D2240811
  • Address: 10169 OLD HIGHWAY 13
    MURPHYSBORO, IL
    ZIP 62966
  • Phone: (618) 529-5158

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NPI Details

JACKSON COUNTY is a land transport ambulance in Murphysboro, IL. JACKSON COUNTY NPI is 1437260528. The provider is registered as an organization entity type.
The provider Is Doing Business As Jackson County Ambulance Service.

The provider's business location address is:

10169 OLD HIGHWAY 13
MURPHYSBORO, IL
ZIP 62966-534
Phone: (618) 529-5158
Fax: (618) 529-4387

The provider's authorized official is Kenton Schafer .
The authorized official title is Director and has the following contact phone number (618) 529-5158.

The CLIA number assigned to this NPI record is 14D2240811 - ambulance with a certificate type of Certificate of Waiver.

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)
  • Ambulance service, basic life support, non-emergency transport, (bls) (HCPCS:A0428)
  • Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) (HCPCS:A0426)
  • Advanced life support, level 2 (als 2) (HCPCS:A0433)

The enumeration date for this NPI number is 8/31/2006 and was last updated on 6/14/2023.

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
1343800000XSecured Medical Transport (VAN)55198ILLINOISNo
23416L0300XAmbulanceLand Transport55198ILLINOISYes

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
18862812OTHERILLINOISBLACK LUNG
20106019OTHERILLINOISBC & BS OF TN
3P00290482OTHERILLINOISPALMETTO GBA
4039780118OTHERILLINOISBLUE CROSS BLUE SHIELD
5HEALTHLINKOTHERILLINOIS112726

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: 11/21/2025

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