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Organization
COUNTY OF PIKE
Active
Organization
COUNTY OF PIKE
Active
Other names
Pike County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
KASEY KENDALL (PIKE COUNTY AMBULANCE ADMINISTRATOR)
(217) 285-6336
Entity
Organization
Contact information
Practice address
24085 365TH ST, PITTSFIELD, IL 62363-2650
(217) 285-9033
(217) 285-9043
Mailing address
PO BOX 366, PITTSFIELD, IL 62363-0366
(217) 285-6336
(217) 285-9053
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
33645
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007532004
BLUE CROSS BLUE SHIELD
IL
01
—
010732
HEALTH ALLIANCE
IL
01
—
131049
HEALTHLINK
IL
01
—
187342
BLUE CROSS BLUE SHIELD
MO
01
—
590128846
RAILROAD MEDICARE
IL
Enumeration date
09/27/2006
Last updated
04/30/2024
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