County of Pike

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

33645 Issued in IL

Legal business name

COUNTY OF PIKE

Doing business as

Pike County Ambulance Service

Practice address

24085 365TH St
Pittsfield, IL 62363-2650

Phone

(217) 285-9033

Fax

(217) 285-9043

NPI assigned

Sep 27, 2006

Last updated

Apr 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kasey Kendall

Title

Pike County Ambulance Administrator

Phone

(217) 285-6336

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Pike County Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• County of Pike

  dba Pike County Health Department

  • Home Health Registered Nurse
  • Pittsfield, IL
  • NPI 1548335862

  5991712499

  Same PAC ID

Tax ID family

County of Pike3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• County of Pike

  dba Pike County Health Department

  • Public Health or Welfare Agency
  • Pittsfield, IL
  • NPI 1376868786
  NPD tax ID
• County of Pike

  dba Pike County Health Department

  • Home Health Registered Nurse
  • Pittsfield, IL
  • NPI 1548335862
  NPD tax ID

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1629169255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "PITTSFIELD",
            "state": "IL",
            "postal_code": "623630366",
            "telephone_number": "217-285-6336",
            "fax_number": "217-285-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24085 365TH ST",
            "city": "PITTSFIELD",
            "state": "IL",
            "postal_code": "623632650",
            "telephone_number": "217-285-9033",
            "fax_number": "217-285-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF PIKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "KENDALL",
        "authorized_official_first_name": "KASEY",
        "authorized_official_title_or_position": "PIKE COUNTY AMBULANCE ADMINISTRATOR",
        "authorized_official_telephone_number": "217-285-6336"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "33645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "010732",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "131049",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "187342",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590128846",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0007532004",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pike County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Complete Chiropractic Acupuncture and Family Wellness LLC
• Kendra Jo Conkright, M.D.
• Gwen Ann Corrigan, COTA
• County of Pike (Pike County Health Department)
• County of Pike (Pike County Health Department)
• Nicole Christine Crockett, LCSW
• Christina Cunningham
• Dan K. Speckhart D.M.D. and Douglas J. White D.M.D., P.C.
• Jennifer Davidson
• Amelia L. Dean, M.D.

• Land Ambulance in Pittsfield, IL
• Providers in Pittsfield, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.