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Jackson County
Secured Medical Transport (VAN) in Murphysboro, Illinois
NPI 1437260528

Jackson County is a Secured Medical Transport (VAN) based in Murphysboro, IL. Jackson County practices in Murphysboro, IL. The NPI Number for Jackson County is 1437260528 and holds a License No. 55198 (Illinois).

The current practice location address for Jackson County is 10169 Old Highway 13, Murphysboro, IL and can be reached out via phone at 618-529-5158 and via fax at 618-529-4387.

Location: 10169 Old Highway 13, Murphysboro, IL, 62966-5534
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437260528
Provider Name
Jackson County
Credential
Provider Entity Type
Organization
Address
10169 Old Highway 13, Murphysboro, IL, 62966-5534
Phone Number
618-529-5158
Fax Number
618-529-4387
Provider Enumeration Date
08/31/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8862812 01 IL BLACK LUNG
0106019 01 IL BC & BS OF TN
P00290482 01 IL PALMETTO GBA
039780118 01 IL BLUE CROSS BLUE SHIELD
HEALTHLINK 01 IL 112726
institution
Provider Business Practice Location Address Details
Address
10169 Old Highway 13
City
Murphysboro
State
Illinois
Zip
62966-5534
Phone Number
618-529-5158
Fax Number
618-529-4387
person
Provider Business Mailing Address Details
Address
10169 Old Highway 13
City
Murphysboro
State
Illinois
Zip
62966-5534
Phone Number
618-529-5158
Fax Number
618-529-4387
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Ambulance
Speciality
Land Transport
Taxonomy
3416L0300X
License No.
55198 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Secured Medical Transport (VAN)
Speciality
-
Taxonomy
343800000X
License No.
55198 (Illinois)
Definition
A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse.
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