Village of South Jacksonville

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

341600000X Issued in IL

Legal business name

VILLAGE OF SOUTH JACKSONVILLE

Practice address

301 Dewey Dr
Jacksonville, IL 62650-3206

Phone

(217) 245-4803

NPI assigned

Sep 8, 2008

Organization subpart

No

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

Authorized official

Name

Mr. David A Hickox

Title

Fire Chief

Phone

(217) 245-4803

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1245488857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42",
            "city": "MANCHESTER",
            "state": "IL",
            "postal_code": "626630042",
            "telephone_number": "217-587-4761",
            "fax_number": "217-587-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 DEWEY DR",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626503206",
            "telephone_number": "217-245-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF SOUTH JACKSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "HICKOX",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "217-245-4803",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "341600000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Vant, MA, LCPC, CADC
• VBL Holdings, LTD.
• James William Veenstra, M.D.
• Neelam Verma, M.D.
• Kayla Christine Vickers, PT, DPT, CMTPT
• Ashley Voigt, PHARMD
• Abigail Diane Wacaser, LCSW
• Elizabeth Wade, NP
• Wal-Mart Stores, Inc.
• Walgreen Co

• Land Ambulance in Jacksonville, IL
• Providers in Jacksonville, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.