Wilkinson Fountains Lease Co LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

WILKINSON FOUNTAINS LEASE CO LLC

Practice address

1201 Hartman LN
Belleville, IL 62221-8402

Phone

(608) 239-9282

Fax

(618) 222-9305

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John Holtz

Title

Controller

Phone

(541) 747-3373

Specialties & licenses 1

Addresses

Other names 1

• THE FOUNTAINS OF SHILOH Other name

Tax ID family

Fountains of Troy2 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.

• Wilkinson Fountains Lease Co LLC

  • Point of Service
  • Troy, IL
  • NPI 1356546212
  NPD tax ID

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1194920058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 CENTENNIAL LOOP",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017900",
            "telephone_number": "541-747-3373",
            "fax_number": "541-747-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 HARTMAN LN",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622218402",
            "telephone_number": "608-239-9282",
            "fax_number": "618-222-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKINSON FOUNTAINS LEASE CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "HOLTZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "541-747-3373",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE FOUNTAINS OF SHILOH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sherry Lynn Wiggers, M.A.
• Scott Wiggins
• Wildflower Behavioral Health Services, LLC
• Stephen Curtis Wilkerson, ATC
• Tera Wilkes, LCPC
• William Lay
• Danielle Williams, A.P.R.N
• Dshawn Williams
• Karon Williams
• Lindsey Jo Williams, CRNA

• Point of Service in Belleville, IL
• Providers in Belleville, IL by specialty
• Point of Service in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.