Organization
PINCKNEYVILLE VOLUNTEER AMBULANCE SERVICE
Active
Other names
Pinckneyville Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATSY G. LIPE PARAMEDIC (OFFICE MANAGER)
(618) 357-2222
Entity
Organization
Contact information
Practice address
508 S MAIN ST, PINCKNEYVILLE, IL 62274-1740
(618) 357-2222
(618) 357-6512
Mailing address
PO BOX 547, WHEELING, IL 60090-0547
(743) 264-2420
(336) 791-0195
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
55158
IL
Other
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
Enumeration date
05/17/2006
Last updated
01/05/2026
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