JON RICHMOND GIESEKING NPI 1164621694

NPI Information

NPI: 1164621694
Provider Name: JON RICHMOND GIESEKING

Doing Business As: GIESEKING FUNERAL HOME & AMBULANCE SERVICE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
208 N 2ND ST
ALTAMONT, IL
ZIP 62411
Phone: (618) 483-6821
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JON RICHMOND GIESEKING is a land transport ambulance in Altamont, IL. JON RICHMOND GIESEKING NPI is 1164621694. The provider is registered as an organization entity type.
The provider Is Doing Business As Gieseking Funeral Home & Ambulance Service.

The provider's business location address is:

208 N 2ND ST
ALTAMONT, IL
ZIP 62411-402
Phone: (618) 483-6821

The provider's authorized official is Jon Richmond Gieseking .
The authorized official title is Owner and has the following contact phone number (618) 483-6821.

The enumeration date for this NPI number is 7/14/2007 and was last updated on 6/16/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	5106	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========002	MEDICAID	ILLINOIS
2	216029	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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