# PINCKNEYVILLE VOLUNTEER AMBULANCE SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pinckneyville Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013960715
- **Authorized official:** MRS. PATSY G. LIPE PARAMEDIC (OFFICE MANAGER)
- **Authorized official phone:** (618) 357-2222

## Contact information

- **Practice address:** 508 S MAIN ST, PINCKNEYVILLE, IL 62274-1740
- **Practice address phone:** (618) 357-2222
- **Practice address fax:** (618) 357-6512
- **Mailing address:** PO BOX 547, WHEELING, IL 60090-0547
- **Mailing address phone:** (743) 264-2420
- **Mailing address fax:** (336) 791-0195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 55158 | IL | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 01/05/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 07370132 | BLUE CROSS BLUE SHIELD | IL |
| 05 | — | 2633994 | — | OH |
| 01 | — | 898518 | BLACK LUNG PROGRAM | IL |
| 05 | — | N269676 | — | IL |