GHOLSON FUNERAL HOME LTD NPI 1639241979

NPI Information

  • NPI: 1639241979
  • Provider Name: GHOLSON FUNERAL HOME LTD
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • Address: 500 S WASHINGTON ST
    MC LEANSBORO, IL
    ZIP 62859
  • Phone: (618) 643-2321

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NPI Details

GHOLSON FUNERAL HOME LTD is a land transport ambulance in Mc Leansboro, IL. GHOLSON FUNERAL HOME LTD NPI is 1639241979. The provider is registered as an organization entity type.

The provider's business location address is:

500 S WASHINGTON ST
MC LEANSBORO, IL
ZIP 62859-238
Phone: (618) 643-2321
Fax: (618) 643-2322

The provider's authorized official is J.b. Gholson .
The authorized official title is Director and has the following contact phone number (618) 643-2321.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 2/21/2012.

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
13416L0300XAmbulanceLand Transport5172ILLINOISYes

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
1626240MEDICARE PINILLINOIS
20008470065OTHERILLINOISBLUE CROSS BLUE SHIELD IL
3590155125OTHERILLINOISRAILROAD MEDICARE
4=========001MEDICAIDILLINOIS

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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