Southwestern Illinois College

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

343900000X Issued in IL

Legal business name

SOUTHWESTERN ILLINOIS COLLEGE

Practice address

718 Scheel St
Suite C
Belleville, IL 62220-4159

Phone

(618) 239-0749

Fax

(618) 239-6232

NPI assigned

Aug 31, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Julie Lynn Keim

Title

Medicaid Specialist

Phone

(618) 239-0749

Specialties & licenses 2

Addresses

Other names 1

• Alternative Transportation System Doing business as

Tax ID family

Alternative Transportation System2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southwestern Illinois College Programs for Older Psreons

  • Public Health or Welfare Agency
  • Belleville, IL
  • NPI 1326041708
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1063728871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 SCHEEL ST",
            "address_2": "SUITE C",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622204159",
            "telephone_number": "618-239-0749",
            "fax_number": "618-239-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 SCHEEL ST",
            "address_2": "SUITE C",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622204159",
            "telephone_number": "618-239-0749",
            "fax_number": "618-239-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN ILLINOIS COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "KEIM",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MEDICAID SPECIALIST",
        "authorized_official_telephone_number": "618-239-0749",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "IL",
            "license": "343800000X",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "343900000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alternative Transportation System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southern Illinois Otolaryngology, LTD
• Southern Illinois Physician Services, PC
• Southern Illinois Pulmonary Consultants, LTD.
• Southern Illinois Surgical Appliance Co
• Southern Illinois Vascular Surgery, PC
• Southwestern Illinois College Programs for Older Psreons
• Lezah Spala, MS
• James E Spalding, CRNA
• Kimberly A Spano, FNP-BC
• Kimberly Latrice Spears

• Non-emergency Medical Transport (VAN) in Belleville, IL
• Providers in Belleville, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.