POPE COUNTY VOLUNTEER AMBULANCE SERVICE NPI 1740296219

NPI Information

NPI: 1740296219
Provider Name: POPE COUNTY VOLUNTEER AMBULANCE SERVICE
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
407 E MAIN ST
GOLCONDA, IL
ZIP 62938
Phone: (618) 683-2707
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POPE COUNTY VOLUNTEER AMBULANCE SERVICE is a land transport ambulance in Golconda, IL. POPE COUNTY VOLUNTEER AMBULANCE SERVICE NPI is 1740296219. The provider is registered as an organization entity type.

The provider's business location address is:

407 E MAIN ST
GOLCONDA, IL
ZIP 62938
Phone: (618) 683-2707
Fax: (618) 683-2707

The provider's authorized official is Sabrina D Banks .
The authorized official title is Director and has the following contact phone number (618) 683-2707.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 7/18/2012.

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
1	3416L0300X	Ambulance	Land Transport	501701	ILLINOIS	Yes

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	553090	MEDICARE ID-TYPE UNSPECIFIED
2	=========001	MEDICAID	ILLINOIS

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: 5/5/2024

NPI Synchronization or Removal

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