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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