Healthcare Provider Details

I. General information

NPI: 1437260528
Provider Name (Legal Business Name): JACKSON COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10169 OLD HIGHWAY 13
MURPHYSBORO IL
62966-5534
US

IV. Provider business mailing address

10169 OLD HIGHWAY 13
MURPHYSBORO IL
62966-5534
US

V. Phone/Fax

Practice location:
  • Phone: 618-529-5158
  • Fax: 618-529-4387
Mailing address:
  • Phone: 618-529-5158
  • Fax: 618-529-4387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number55198
License Number StateIL

VIII. Authorized Official

Name: MR. MARK A KUHNS
Title or Position: CHIEF
Credential:
Phone: 618-529-5158