# JACKSON COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JACKSON COUNTY
- **Other names:** Jackson County Ambulance Service
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1437260528
- **Legal business name:** JACKSON COUNTY
- **Authorized official:** MR. MARK A KUHNS (CHIEF)
- **Authorized official phone:** (618) 529-5158

## Contact information

- **Practice address:** 10169 OLD HIGHWAY 13, MURPHYSBORO, IL 62966-5534
- **Practice address phone:** (618) 529-5158
- **Practice address fax:** (618) 529-4387
- **Mailing address:** 10169 OLD HIGHWAY 13, MURPHYSBORO, IL 62966-5534
- **Mailing address phone:** (618) 529-5158
- **Mailing address fax:** (618) 529-4387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 55198 | IL | Yes |
| 343800000X | Secured Medical Transport (VAN) | 55198 | IL | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 06/15/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0106019 | BC & BS OF TN | IL |
| 01 | — | 039780118 | BLUE CROSS BLUE SHIELD | IL |
| 01 | — | 8862812 | BLACK LUNG | IL |
| 01 | — | HEALTHLINK | 112726 | IL |
| 01 | — | P00290482 | PALMETTO GBA | IL |