COUNTY OF COLES (NPI# 1902973969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902973969 |
| Entity Type | Organization |
| Organization Name | COUNTY OF COLES |
| Other Organization Name | CITY OF CHARLESTON |
| Practice Address |
520 Jackson Ave Charleston IL 61920-2030 |
| Practice Telephone | 2173458425 |
| Practice Fax Number | 2173458427 |
| Mailing Telephone | 2173458425 |
| Mailing Fax Number | 2173458427 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2013-06-14 |
| Authorized Official Name | HEATHER E KUYKENDALL (COMPTROLLER) |
| Authorized Official Telephone | 2173458425 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
1746456 | IL | Transportation Services |
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
1746458 | IL | Transportation Services |
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
1746457 | IL | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAILROAD MEDICARE | P00192459 | 01 |
| IL | BLUE CROSS BLUE SHIELD | 1570757 | 01 |
| Other Name | Type Code |
|---|---|
| City of Charleston | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407039761 | County of Coles | Public Health or Welfare | 825 18th St, Charleston, IL 61920-2936 | 2007-12-10 |
| 1649588831 | County of Coles | Public Health or Welfare | 825 18th St, Charleston, IL 61920-2940 | 2010-09-22 |
| 1558679746 | County of Coles | Public Health or Welfare | 825 18th St, Charleston, IL 61920-2940 | 2010-09-22 |
| 1730497926 | County of Coles | Public Health or Welfare | 825 18th St, Charleston, IL 61920-2940 | 2010-09-22 |
| 1376851568 | County of Coles | Public Health or Welfare | 825 18th St, Charleston, IL 61920-2940 | 2010-09-22 |
| 1427366012 | County of Coles | Public Health or Welfare | 825 18th St, Charleston, IL 61920-2940 | 2010-09-17 |
| Street Address |
520 JACKSON AVE |
| City | CHARLESTON |
| State | IL |
| Zip Code | 61920-2030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643879 | Jenna Kay Mortensen | Speech-Language Pathologist | 2086 7th Street, Charleston, IL 61920 | 2020-06-09 |
| 1255954566 | Christina L. White | Nurse Practitioner | 1199 Persimmon Rd, Charleston, IL 61920 | 2020-05-20 |
| 1679066773 | Jennifer Hess | Specialist/Technologist | 2506 Lantz Building, Charleston, IL 61920 | 2018-06-13 |
| 1134647969 | Nichole C Ogilvie | Student in an Organized Health Care Education/Training Program | 917 4th Street Apt 19, Charleston, IL 61920 | 2017-08-31 |
| 1467970319 | Marcus Roach | Physical Therapy Assistant | 912 Oakcrest Dr. Apt D, Charleston, IL 61920 | 2017-08-30 |
| 1114478500 | 5 Guys Rx II LLC | Pharmacy | 1 W Lincoln Ave, Charleston, IL 61920 | 2016-10-20 |
| 1649723206 | Bright Minds Educational Program Inc | Developmental Therapist | 7704 Deerpath Road, Charleston, IL 61920 | 2016-08-01 |
| 1760843379 | Lisa Price | Nurse Practitioner | 2040 Lincoln Ave, Suite 100, Charleston, IL 61920 | 2016-03-09 |
| 1104243385 | Nathan David Schwartzkopf | Specialist/Technologist | 1340 A Street, Charleston, IL 61920 | 2014-03-25 |
| 1558694349 | Emily Schilling | Specialist/Technologist | 2350 Harrison Avenue, Charelston, IL 61920 | 2009-09-10 |
| Find all providers in zip 61920 | ||||
| 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 |
|---|---|---|---|---|
| 1902179500 | Healthnet Inc | Ambulance | 110 Wyoming St, Charleston, WV 25302-2340 | 2012-02-14 |
| 1730403676 | Stat Ambulance Service LLC | Ambulance | 1816 Belgrade Ave, Charleston, SC 29407-1709 | 2010-03-22 |
| 1275690737 | Kanawha County Emergency Ambulance Authority | Ambulance | 601 Brooks St, Charleston, WV 25301-1319 | 2007-01-03 |
| 1760409718 | Personal Care, Inc. | Ambulance | 941 Straight St, Charleston, SC 29407-5744 | 2006-07-16 |
| 1801875166 | Healthnet Aeromedical Services Inc. | Ambulance | 110 Wyoming St Ste 101, Charleston, WV 25302-2340 | 2006-01-13 |
| 1548263478 | Mississippi County Ambulance District | Ambulance | 53 W Highway C, Charleston, MO 63834-8399 | 2005-05-24 |
| 1316334972 | Healthteam Critical Care Transport | Ambulance | 110 Wyoming St, Suite 101, Charleston, WV 25302-2340 | 2015-04-22 |
| 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 | CHARLESTON |
| Zip Code | 61920 |
Please comment or provide details below to improve the information on COUNTY OF COLES.
| 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.