COUNTY OF JACKSON (NPI# 1851601132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851601132 |
| Entity Type | Organization |
| Organization Name | COUNTY OF JACKSON |
| Other Organization Name | JACKSON COUNTY EMS |
| Practice Address |
260 Pattonsville Rd Jackson OH 45640-9452 |
| Mailing Address |
10361 Spartan Dr Cincinnati OH 45215-1220 |
| Practice Telephone | 7402864231 |
| Mailing Telephone | 8009621484 |
| Mailing Fax Number | 5137724464 |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2016-10-17 |
| Authorized Official Name | CLYDE HOLDREN (COUNTY AUDITOR) |
| Authorized Official Telephone | 7402864231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3133380 | 05 | |
| RAILROAD MEDICARE | P00928606 | 01 | |
| ANTHEM | 000000703174 | 01 |
| Other Name | Type Code |
|---|---|
| JACKSON COUNTY EMS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952445025 | County of Jackson | Public Health or Welfare | 421 County Road R, Black River Falls, WI 54615-5129 | 2007-02-20 |
| 1609912096 | County of Jackson | Case Management | 538 Scotts Creek Road, Suite 100, Sylva, NC 28779-5281 | 2007-01-30 |
| 1659934305 | County of Jackson | Clinic/Center | 154 Medical Park Loop, Sylva, NC 28779-5271 | 2019-04-18 |
| 1376095836 | County of Jackson | Clinic/Center | 140 S Holly St, Medford, OR 97501-3113 | 2016-11-01 |
| 1558738872 | County of Jackson | Early Intervention Provider Agency | 421 County Road R, Black River Falls, WI 54615-5129 | 2015-08-24 |
| 1568746808 | County of Jackson | Clinic/Center | 538 Scotts Creek Rd, Suite 100, Sylva, NC 28779-5281 | 2011-10-05 |
| 1801114632 | County of Jackson | Clinic/Center | 421 County Road R, Black River Falls, WI 54615-5129 | 2010-05-04 |
| 1356466098 | County of Jackson | Public Health or Welfare | 200 E Main St, Jackson, OH 45640-1716 | 2007-03-20 |
| 1992842348 | County of Jackson | Clinic/Center | 538 Scotts Creek Road, Suite 100, Sylva, NC 28779-5281 | 2007-02-01 |
| 1710933379 | County of Jackson | Clinic/Center | 140 South Holly Street, Medford, OR 97501 | 2006-05-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COUNTY OF JACKSON | 21200 Highway 62, Shady Cove, OR 97539-9715 |
| System for Award Management (SAM) Entities | COUNTY OF JACKSON; VILLAGE OF ELKVILLE | 405 S Sixth St, Elkville, IL 62932-1044 |
| Street Address |
260 PATTONSVILLE RD |
| City | JACKSON |
| State | OH |
| Zip Code | 45640-9452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131047 | Karen Angela Hill | Homemaker | 399 Florence Ave., Jackson, OH 45640 | 2020-10-14 |
| 1639609183 | Katherine Elizabeth Kazee | Pharmacist | 530 E Main St., Jackson, OH 45640 | 2017-06-18 |
| 1477080703 | Mary Jane Adams | Registered Nurse | 10 Lady Avenue, Jackson, OH 45640 | 2017-05-17 |
| 1669721833 | David L Weaver | Counselor | 731 E. Main Street, Suite 16, Jackson, OH 45640 | 2012-09-04 |
| 1710297387 | Cheryl Renee Mccarty | Physical Therapy Assistant | 269 E South Street, Jackson, OH 45640 | 2010-10-18 |
| 1619203536 | Connie Rae Klein-ferguson | Registered Nurse | 388 Webb Pierce Road, Jackson, OH 45640 | 2009-10-28 |
| 1114194347 | Community Action Committee of Pike County | Clinic/Center | 14590 St Rt 93, Family Health Center Jackson, Jackson, OH 45640 | 2008-05-16 |
| 1548489149 | Synergy Dialysis Associates, LLC | Clinic/Center | 500 Mccarty Ln, Jackson, OH 45640 | 2007-04-24 |
| 1770629487 | Lance Family Medicine | Family Medicine | 212 Pearl Street Suite E, Jackson, OH 45640 | 2007-01-29 |
| 1023176104 | Amber Nichole Pratt | Speech-Language Pathologist | 822 Sellars Dr, Jackson, OH 45640 | 2006-12-04 |
| Find all providers in zip 45640 | ||||
| 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 |
|---|---|---|---|---|
| 1104481092 | Breathitt-wolfe Ems Inc | Ambulance | 3 Howell Ln, Jackson, KY 41339-8657 | 2019-05-06 |
| 1730564436 | Jackson Township First Aid Squad Inc | Ambulance | 38 E Veterans Hwy, Jackson, NJ 08527-4519 | 2015-07-23 |
| 1245637255 | Breathitt County Ambulance, Inc. | Ambulance | 440 Highway 1812 North, Jackson, KY 41339 | 2014-11-20 |
| 1437418506 | Arrow-med Ambulance, Inc. | Ambulance | 68 Shacks Ln, Jackson, KY 41339-7603 | 2012-05-10 |
| 1457627986 | Six Flags Great Adventure LLC | Ambulance | 1 Six Flags Blvd, Jackson, NJ 08527-5369 | 2012-03-29 |
| 1760635700 | Life Star Healthcare LLC | Ambulance | 111 Glendale St, Jackson, TN 38301-5101 | 2008-11-03 |
| 1003947953 | County of Teton | Ambulance | 40 E Pearl Ave, Jackson, WY 83001 | 2007-03-09 |
| 1770686610 | Village of Jackson | Ambulance | W204n16722 Jackson Dr, Jackson, WI 53037-9796 | 2006-09-06 |
| 1831206713 | Jackson Emergency Transport Service, LLC | Ambulance | 210 S Kimball Ave, Jackson, AL 36545-2726 | 2006-08-24 |
| 1164786257 | Jackson-madison County General Hospital | Ambulance | 620 Skyline Dr, Jackson, TN 38301-3923 | 2012-07-03 |
| Find all providers in JACKSON | ||||
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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.