Jackson County Mass Transit District

Primary specialty

BusTaxonomy code 347B00000X

Legal business name

JACKSON COUNTY MASS TRANSIT DISTRICT

Practice address

608 E College St
Carbondale, IL 62901-3487

Phone

(618) 549-0304

Fax

(618) 457-0171

NPI assigned

Sep 22, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Frank Mulholland, JD

Title

Managing Director

Phone

(618) 351-1836

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1295043420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 E COLLEGE ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629013487",
            "telephone_number": "618-549-0304",
            "fax_number": "618-457-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 E COLLEGE ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629013487",
            "telephone_number": "618-549-0304",
            "fax_number": "618-457-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY MASS TRANSIT DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "MULHOLLAND",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "618-351-1836",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan L Irwin, M.S.
• Muhammad S Isa, MD
• Jennifer N Isom, LCPC
• Kilali Iyalla, M.D.
• Kevin Izquierdo
• Adam J Jackson
• Johnathan Jackson, BS
• Laneasze C Jackson
• Marissa Cayenne Jackson
• Turkessa Crystal Jackson, MA, CRC, LCPC

• All providers in Carbondale, IL
• Bus in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.