JACKSON COUNTY MASS TRANSIT DISTRICT (NPI# 1295043420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295043420 |
| Entity Type | Organization |
| Organization Name | JACKSON COUNTY MASS TRANSIT DISTRICT |
| Practice Address |
608 E College St Carbondale IL 62901-3487 |
| Practice Telephone | 6185490304 |
| Practice Fax Number | 6184570171 |
| Mailing Telephone | 6185490304 |
| Mailing Fax Number | 6184570171 |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |
| Authorized Official Name | MR. FRANK MULHOLLAND (MANAGING DIRECTOR) |
| Authorized Official Telephone | 6183511836 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 347B00000X | Bus | Transportation Services |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JACKSON COUNTY MASS TRANSIT DISTRICT | 602 E College St, Carbondale, IL 62901-3309 |
| Street Address |
608 E COLLEGE ST |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-3487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 347B00000X |
| Grouping | Transportation Services |
| Classification | Bus |
| A public or private organization or business licensed to provide bus services. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174046759 | Bloomington Normal Public Transportation System | Bus | 351 Wylie Dr, Normal, IL 61761-5525 | 2017-07-25 |
| 1235568221 | Vtm Insurance Financial Services | Bus | 16w518 Honeysuckle Rose Ln, Suite #206, Willowbrook, IL 60527-7409 | 2013-11-11 |
| 1881900678 | Boone County Council On Aging | Bus | 2141 Henry Luckow Ln, Belvidere, IL 61008-1700 | 2010-08-31 |
| 1043450810 | Davis Transportation LLC | Bus | 1040 Wesley Ave, Evanston, IL 60202-1161 | 2009-03-05 |
| 1942475686 | M.d.t. Transportation Inc. | Bus | 8000 S Campbell Ave, Chicago, IL 60621-3745 | 2008-04-24 |
| 1770757387 | Ultra Investment Corp. | Bus | 1607 W Howard St, 4th Floor Suite A1, Chicago, IL 60626-1675 | 2008-04-15 |
| 1114105103 | Laraway Ccsd #70c | Bus | 275 W Laraway Rd, Joliet, IL 60436-9544 | 2008-02-01 |
| 1134476864 | Cris Rural Mass Transit District | Bus | 309 N Franklin St, Danville, IL 61832-4509 | 2012-08-13 |
| 1699949834 | Meadows Mennonite Retirement Community | Bus | 24588 Church St, Chenoa, IL 61726-9395 | 2008-04-18 |
| City | CARBONDALE |
| Zip Code | 62901 |
Please comment or provide details below to improve the information on JACKSON COUNTY MASS TRANSIT DISTRICT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.