GHOLSON FUNERAL HOME LTD
NPI 1639241979
Ambulance - Land Transport in Mc Leansboro, IL

NPI Status: Active since November 14, 2006

Contact Information

500 S WASHINGTON ST
MC LEANSBORO, IL
ZIP 62859
Phone: (618) 643-2321
Fax: (618) 643-2322

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  • Organization
  • Ambulance
  • Land Transport

About GHOLSON FUNERAL HOME LTD

This page provides the complete NPI Profile along with additional information for Gholson Funeral Home Ltd, a provider established in Mc Leansboro, Illinois operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1639241979 assigned on November 2006. The practitioner's primary taxonomy code is 3416L0300X with license number 5172 (IL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is J.b. Gholson (Director)

NPI
1639241979
Provider Name
GHOLSON FUNERAL HOME LTD
Entity Type
Organization
Location Address
500 S WASHINGTON ST MC LEANSBORO, IL 62859
Location Phone
(618) 643-2321
Location Fax
(618) 643-2322
Mailing Address
500 S WASHINGTON ST MC LEANSBORO, IL 62859
Mailing Phone
(618) 643-2321
Mailing Fax
(618) 643-2322
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-14-2006
Last Update Date
02-21-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ambulance Land Transport

Taxonomy Code
3416L0300X
Type
Transportation Services
License No.
5172
License State
IL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

J.B. GHOLSON

Authorized Official Title
DIRECTOR
Authorized Official Phone
(618) 643-2321

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
626240MEDICARE PIN (08)IL 
0008470065OTHER (01)ILBLUE CROSS BLUE SHIELD IL
590155125OTHER (01)ILRAILROAD MEDICARE
=========001MEDICAID (05)IL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639241979
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669442914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 4 + 4 + 2 + 9 + 1 + 4 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1639241979 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639241979, enumerated in the NPI registry as an "organization" on November 14, 2006

The provider is located at 500 S Washington St Mc Leansboro, Il 62859 and the phone number is (618) 643-2321

This medical organization specializes in Ambulance with taxonomy code 3416L0300X with a focus in Land Transport

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 14, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.