COUNTY OF CLARK NPI 1710002589

NPI Information

  • NPI: 1710002589
  • Provider Name: COUNTY OF CLARK
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • Address: 501 ARCHER AVE
    MARSHALL, IL
    ZIP 62441
  • Phone: (217) 382-4642

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NPI Details

COUNTY OF CLARK is a land transport ambulance in Marshall, IL. COUNTY OF CLARK NPI is 1710002589. The provider is registered as an organization entity type.

The provider's business location address is:

501 ARCHER AVE
MARSHALL, IL
ZIP 62441-275
Phone: (217) 382-4642
Fax: (217) 382-4676

The provider's authorized official is Sheri Higginbotham .
The authorized official title is County Treasurer and has the following contact phone number (217) 826-5721.

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, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)
  • Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)
  • Ambulance service, basic life support, non-emergency transport, (bls) (HCPCS:A0428)

The enumeration date for this NPI number is 3/20/2007 and was last updated on 3/20/2012.

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 Transport6-6745ILLINOISYes

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
1=========001MEDICAIDILLINOIS
2225880MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

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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