Organization Active NPI

Jackson County

Doing business as Jackson County Ambulance Service

  • Land Ambulance
  • Murphysboro, IL
National Provider Identifier
1437260528
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
55198 Issued in IL
Legal business name
JACKSON COUNTY
Doing business as
Jackson County Ambulance Service
Practice address
10169 Old Highway 13
Murphysboro, IL 62966-5534
Phone
(618) 529-5158
Fax
(618) 529-4387
NPI assigned
Aug 31, 2006
Last updated
Jun 15, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
JACKSON COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Mr. Mark A Kuhns
Title
Chief
Phone
(618) 529-5158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 55198 IL Primary

Addresses

Primary practice location

10169 Old Highway 13
Murphysboro, IL 62966-5534

Mailing address

10169 Old Highway 13
Murphysboro, IL 62966-5534
Phone (618) 529-5158

Other names 1

  • Jackson County 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
O20060406000051 IL Part B Supplier - Ambulance Service Supplier 7315956125 Practice locations: Murphysboro, IL; Ava, IL; Carbondale, IL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Jackson County2 organizations share this tax ID, including this one
Part of
Jackson County

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

520 N University Ave
Carbondale, IL 62901
Phone (618) 529-5158

10169 Old Highway 13
Murphysboro, IL 62966
Phone (618) 529-5158

1439 N 14TH St
Murphysboro, IL 62966
Phone (618) 529-5158

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1437260528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10169 OLD HIGHWAY 13",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629665534",
            "telephone_number": "618-529-5158",
            "fax_number": "618-529-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10169 OLD HIGHWAY 13",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629665534",
            "telephone_number": "618-529-5158",
            "fax_number": "618-529-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JACKSON COUNTY",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "KUHNS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "618-529-5158",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "55198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jackson County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murphysboro, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.