NPIMap

Organization Active NPI

Pinckneyville Volunteer Ambulance Service

Doing business as Pinckneyville Ambulance Service

  • Land Ambulance
  • Pinckneyville, IL
National Provider Identifier
1013960715
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
55158 Issued in IL
Legal business name
PINCKNEYVILLE VOLUNTEER AMBULANCE SERVICE
Doing business as
Pinckneyville Ambulance Service
Practice address
508 S Main St
Pinckneyville, IL 62274-1740
Phone
(618) 357-2222
Fax
(618) 357-6512
NPI assigned
May 17, 2006
Last updated
Jan 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Patsy G. Lipe, PARAMEDIC
Title
Office Manager
Phone
(618) 357-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 55158 IL Primary

Addresses

Primary practice location

508 S Main St
Pinckneyville, IL 62274-1740

Mailing address

PO Box 547
Wheeling, IL 60090-0547
Phone (743) 264-2420

Other identifiers 4

IdentifierTypeStateIssuer
N269676MedicaidIL
2633994MedicaidOH
898518OtherILBLACK LUNG PROGRAM
07370132OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Pinckneyville Ambulance Service Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080929000039 IL Part B Supplier - Ambulance Service Supplier 8729155056 Practice locations: Pinckneyville, IL

National Provider Directory

National Provider Directory

Locations

508 S Main St
Pinckneyville, IL 62274
Phone (618) 357-2222

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1013960715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600900547",
            "telephone_number": "743-264-2420",
            "fax_number": "336-791-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S MAIN ST",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622741740",
            "telephone_number": "618-357-2222",
            "fax_number": "618-357-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINCKNEYVILLE VOLUNTEER AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "LIPE",
        "authorized_official_first_name": "PATSY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "618-357-2222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "55158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N269676",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2633994",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG PROGRAM",
            "identifier": "898518",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "07370132",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinckneyville Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinckneyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.