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COUNTY OF PULASKI
NPI 1043319148
Ambulance - Land Transport in Mounds, IL

Active since September 22, 2006
75 CAMO CLAD DR, PULASKI COUNTY AMBULANCE, MOUNDS, IL 62964(618) 342-6209(618) 342-6254 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 11, 2022, May 4, 2021, Oct 31, 2019 (3 updates tracked since 2019).

About County Of Pulaski NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTY OF PULASKI (NPI 1043319148) is a healthcare organization registered as a land transport in Mounds, Illinois and active in the NPI registry since September 2006. The organization lists Tracie Dawn Hafford, Director, as its authorized official.

NPPES Registry Identity

NPI1043319148
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCOUNTY OF PULASKI
Location Address75 CAMO CLAD DR, PULASKI COUNTY AMBULANCEMounds, IL 62964
Mailing AddressPo Box 52Mounds, IL 62964-0052 · (618) 342-6209 · Fax (618) 342-6254
Phone(618) 342-6209
Fax(618) 342-6254
Organization SubpartNo
Authorized OfficialTracie Dawn HaffordDirector · (314) 677-0185
Enumeration DateSeptember 22, 2006
Last NPPES UpdateAugust 11, 20223 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
✔ NPI 1043319148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
Also ListedAmbulanceTaxonomy 341600000X
75 CAMO CLAD DR, Mounds, IL 62964
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Other Identifiers 3

Other590000202IL · Rail Road Medicare
Other07770390IL · Blue Cross Blue Shield
Medicaid371076724001IL

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
2,586 services74 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
77 services66 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is County Of Pulaski's NPI number?

The NPI number for County Of Pulaski is 1043319148. It was assigned to this organization in the NPPES registry on September 22, 2006.

Where is County Of Pulaski located?

County Of Pulaski is located at 75 Camo Clad Dr Pulaski County Ambulance, Mounds, IL 62964. The listed phone number is (618) 342-6209.

What is County Of Pulaski's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

When was this NPI record last updated?

The NPPES record for County Of Pulaski was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.