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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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