American Health Corporation

Primary specialty

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

License

255042D Issued in IL

Legal business name

AMERICAN HEALTH CORPORATION

Doing business as

Farmington Country Manor

Practice address

701 S Main St
Farmington, IL 61531-1460

Phone

(309) 245-2407

NPI assigned

Oct 28, 2008

Last updated

Oct 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer L Wilder

Title

Administrator

Phone

(309) 245-2407

Specialties & licenses 1

Addresses

Other names 1

• FARMINGTON COUNTRY MANOR Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1316190937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S MAIN ST",
            "city": "FARMINGTON",
            "state": "IL",
            "postal_code": "615311460",
            "telephone_number": "309-245-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S MAIN ST",
            "city": "FARMINGTON",
            "state": "IL",
            "postal_code": "615311460",
            "telephone_number": "309-245-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "309-245-2407"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "255042D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMINGTON COUNTRY MANOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• American Health Corporation and Subsidiaries (Farmington Coountry Manor)
• Jason Bitner, RN
• Kathy S Brown, D.C.
• Emily Nicole Buster, MS
• Jason G. Chamberlin, DO

• Non-emergency Medical Transport (VAN) in Farmington, IL
• Providers in Farmington, 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 Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.