# COUNTY OF UNION

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

## Provider details

- **NPI number:** 1861588097
- **Authorized official:** LEIGH A BURNS (COUNTY TREASURER)
- **Authorized official phone:** (618) 833-2871

## Contact information

- **Practice address:** 204 W MISSISSIPPI ST, JONESBORO, IL 62952-0037
- **Practice address phone:** (618) 833-2871
- **Practice address fax:** (618) 833-6201
- **Mailing address:** 204 W MISSISSIPPI ST, PO BOX 37, JONESBORO, IL 62952-0037
- **Mailing address phone:** (618) 833-2871
- **Mailing address fax:** (618) 833-6201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 55125 | IL | — |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 03/22/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 590001833 | RAILROAD MEDICARE | IL |
| 01 | — | 9170724 | BLUE CROSS BLUE SHIELD IL | IL |