CITY OF JACKSONVILLE (NPI# 1346305828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346305828 |
| Entity Type | Organization |
| Organization Name | CITY OF JACKSONVILLE |
| Other Organization Name | CITY OF JACKSONVILLE EMS |
| Practice Address |
301 S Main St Jacksonville TX 75766-4925 |
| Mailing Address |
Po Box 1390 301 E. Commerce St. Jacksonville TX 75766-1390 |
| Practice Telephone | 9035867131 |
| Practice Fax Number | 9035864905 |
| Mailing Telephone | 9035863510 |
| Mailing Fax Number | 8035864609 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RICHARD BALL (FINANCE DIRECTOR) |
| Authorized Official Telephone | 9035863510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 3416L0300X |
Ambulance Specialization: Land Transport |
037001 | TX | Transportation Services |
| X | 343900000X | Non-emergency Medical Transport (VAN) | 037001 | TX | Transportation Services |
| Other Name | Type Code |
|---|---|
| City of Jacksonville EMS | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902895055 | City of Jacksonville | Ambulance | 900 N Redmond Rd, Jacksonville, AR 72076-3623 | 2005-10-20 |
| 1356341531 | City of Jacksonville | Ambulance | 515 N Julia St, Jacksonville, FL 32202-4128 | 2005-07-28 |
| 1730188673 | City of Jacksonville | Ambulance | 506 Chinabee Ave Se, Jacksonville, AL 36265-2881 | 2005-07-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CITY OF JACKSONVILLE BEACH | 11 N 3rd St, Jacksonville Beach, FL 32250-6930 |
| Street Address |
301 S MAIN ST |
| City | JACKSONVILLE |
| State | TX |
| Zip Code | 75766-4925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770062788 | David Rentz | Occupational Therapy Assistant | 838 Brown St., Jacksonville, TX 75766 | 2018-08-09 |
| 1295233146 | Amanda Dawn Anderson | Licensed Vocational Nurse | Fm 347, Jacksonville, TX 75766 | 2018-01-25 |
| 1467896241 | Christopher Mark Sirianni | Anesthesiology | 2026 S Jackson St Apt 1213, Jacksonville, TX 75766 | 2013-04-23 |
| 1164703047 | Aegis Psychological Consulting LLC | Psychologist | 208 E. Rusk St., Jacksonville, TX 75766 | 2011-09-06 |
| 1952697872 | Melissa Springmeyer | Family Medicine | 2026 South Jacksonville Street, Jacksonville, TX 75766 | 2011-06-20 |
| 1306031018 | Michael Kay Moore | Occupational Therapist | 4155 Cr 3908, Jacksonville, TX 75766 | 2007-09-06 |
| 1730398827 | Cherokee County Health Department | Public Health or Welfare | 510 East Commerce, Jacksonville, TX 75766 | 2007-05-22 |
| 1568689545 | Mary Alice Bone | Preventive Medicine | 510 E. Commerce, Jacksonville, TX 75766 | 2007-04-19 |
| 1619093176 | Assisted Living Concepts Inc | Assisted Living Facility | 211 Phillip Street, Jacksonville, TX 75766 | 2007-03-22 |
| 1265560767 | Anderson Cherokee Community Enrichment Services | Counselor | 1011 College Ave, Jacksonville, TX 75766 | 2007-02-28 |
| Find all providers in zip 75766 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568008977 | Ameripro Ems of Florida, LLC | Ambulance | 4810 Executive Park Ct Ste 112, Jacksonville, FL 32216-6018 | 2019-11-20 |
| 1265097513 | Mayo Clinic Jacksonville | Ambulance | 13970 Zumbro Dr, Jacksonville, FL 32224 | 2019-05-02 |
| 1841763984 | Kindred Care Ems LLC | Ambulance | 6824 Norwood Ave, Jacksonville, FL 32208-4471 | 2019-01-10 |
| 1477942050 | Jax Patient Care | Ambulance | 100 Wharfside Way # A, Jacksonville, FL 32207-8104 | 2015-01-20 |
| 1245488857 | Village of South Jacksonville | Ambulance | 301 Dewey Dr, Jacksonville, IL 62650-3206 | 2008-09-08 |
| 1013070382 | Herbert Steven Pridgen | Ambulance | 705 Grants Creek Rd, Jacksonville, NC 28546-9644 | 2006-12-18 |
| 1679662886 | Ambulance Service, Inc. | Ambulance | 5995 Philips Hwy, Jacksonville, FL 32216-5916 | 2006-10-12 |
| 1720027147 | County of Onslow | Ambulance | 1180 Commons Dr N, Jacksonville, NC 28546-6965 | 2006-06-05 |
| 1932153335 | Century Ambulance Service, Inc. | Ambulance | 2110 Herschel St, Jacksonville, FL 32204-3820 | 2006-05-20 |
| 1902895055 | City of Jacksonville | Ambulance | 900 N Redmond Rd, Jacksonville, AR 72076-3623 | 2005-10-20 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 75766 |
Please comment or provide details below to improve the information on CITY OF JACKSONVILLE.
| 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.