JACKSON COUNTY (NPI# 1437260528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437260528 |
Entity Type | Organization |
Organization Name | JACKSON COUNTY |
Other Organization Name | JACKSON COUNTY AMBULANCE SERVICE |
Practice Address |
520 N University Ave Carbondale IL 62901-1375 |
Practice Telephone | 6185295158 |
Practice Fax Number | 6185294387 |
Mailing Telephone | 6185295158 |
Mailing Fax Number | 6185294387 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2019-09-03 |
Authorized Official Name | MR. KENTON SCHAFER (DIRECTOR) |
Authorized Official Telephone | 6185295158 |
Is Organization Subpart | Y |
Parent Organization Name | JACKSON COUNTY |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 343800000X | Secured Medical Transport (VAN) | 55198 | IL | Transportation Services |
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
55198 | IL | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BLACK LUNG | 8862812 | 01 |
IL | PALMETTO GBA | P00290482 | 01 |
IL | BC & BS OF TN | 0106019 | 01 |
IL | BLUE CROSS BLUE SHIELD | 039780118 | 01 |
IL | 112726 | HEALTHLINK | 01 |
Other Name | Type Code |
---|---|
Jackson County Ambulance Service | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780692400 | Jackson County | Preventive Medicine | 1715 Lansing Ave, Jackson, MI 49202-2193 | 2006-08-05 |
1073032355 | Jackson County | Case Manager/Care Coordinator | 1715 Lansing Ave, Jackson, MI 49202-2193 | 2017-09-18 |
1508193046 | Jackson County | Case Management | 1715 Lansing Ave, Suite 672, Jackson, MI 49202-2192 | 2009-11-04 |
1831294461 | Jackson County | Clinic/Center | 415 Health Department Rd, Murphysboro, IL 62966-6108 | 2006-09-14 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | JACKSON COUNTY | 415 E 12th St, Kansas City, MO 64106-2706 |
Oregon Corporations, Companies and Business Names | JACKSON COUNTY 4-H ASSOCIATION | Jackson County Extension Office, 569 Hanley Rd, Central Point, OR 97502 |
Oregon Corporations, Companies and Business Names | JACKSON COUNTY 4-H FFA JR. LIVESTOCK AUCTION COMMITTEE | 280 Worthington Road, Eagle Point, OR 97524 |
System for Award Management (SAM) Entities | JACKSON COUNTY ABSTRACT & TITLE GUARANTEE CO | 110 S 11th St, Murphysboro, IL 62966-2639 |
Oregon Corporations, Companies and Business Names | JACKSON COUNTY ACCOUNTING AND TAX SERVICE | 1128 W Main St, Medford, OR 97501 |
Oregon Corporations, Companies and Business Names | JACKSON COUNTY ACCOUNTING AND TAX SERVICES | 1128 W Main St, Medford, OR 97501 |
System for Award Management (SAM) Entities | JACKSON COUNTY AIRPORT AUTHORITY | 1000 Terminal Loop Pkwy Ste 201, Medford, OR 97504-4155 |
Oregon Corporations, Companies and Business Names | JACKSON COUNTY AMATEUR RADIO EMERGENCY SERVICE | 311 Sheridan St, Ashland, OR 97520 |
System for Award Management (SAM) Entities | JACKSON COUNTY AMBULANCE SERVICE | 1035 Mccannon Ridge Rd, Mc Kee, KY 40447-6320 |
Indiana Business Entities | JACKSON COUNTY ANTIQUE MACHINERY ASSN., INC. | 12877 E Co Rd 200 S, Crothersville, IN 47229 |
Street Address |
520 N UNIVERSITY AVE |
City | CARBONDALE |
State | IL |
Zip Code | 62901-1375 |
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 | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518910827 | Cottage Hose Ambulance Corp Inc | Ambulance | 2 Greenfield Rd, Carbondale, PA 18407-2833 | 2006-05-18 |
1790788305 | Basalt & Rural Fire Protection District | Ambulance | 1089 Jw Drive, Carbondale, CO 81623-9587 | 2005-05-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306468871 | Germantown Fire Protection District | Ambulance | 313 Prairie Ave, Germantown Hills, IL 61548-9290 | 2020-05-07 |
1740809870 | Blackhawk Fire Protection District | Ambulance | 3738 S Main St, Rockford, IL 61102-4239 | 2020-04-09 |
1134776859 | Preferred Ambulance LLC | Ambulance | 9449 S Kedzie Ave Ste 301, Evergreen Park, IL 60805-2325 | 2019-08-19 |
1407321938 | Alliance Ambulance LLC | Ambulance | 4248 Belle Aire Lane Suite 3, Downers Grove, IL 60515-1303 | 2018-10-11 |
1366924888 | Randolph Township Fire Protection District | Ambulance | 707 S. Vine St, Heyworth, IL 61745 | 2018-08-31 |
1033615307 | Bridget Mangan | Ambulance | 3559 W 101st St, Evergreen Park, IL 60805-3708 | 2018-04-04 |
1093211823 | Lakeside Ems LLC | Ambulance | 3293 E 500 North Rd, Neoga, IL 62447 | 2018-04-02 |
1902301013 | Ability Transportation Inc | Ambulance | 24459 W Eames St, Channahon, IL 60410-5591 | 2018-03-29 |
1417472739 | City of Benton | Ambulance | 107 N. Maple St., Benton, IL 62812 | 2017-08-08 |
1619499878 | Mission Care of Illinois LLC | Ambulance | 812 N 3rd St, Effingham, IL 62401-3130 | 2017-07-10 |
Find all providers with the same taxonomy |
City | CARBONDALE |
Zip Code | 62901 |
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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.