JMH Divisified Healthcare

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

099121 Issued in MO

Legal business name

JMH DIVISIFIED HEALTHCARE

Doing business as

JMH Ambulance Service

Practice address

1400 Highway 61
Festus, MO 63028-4100

Phone

(636) 933-5730

Fax

(636) 933-5301

NPI assigned

Jul 14, 2005

Last updated

Aug 22, 2020By 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

Mr. Dennis Patrick Halley, MSA

Title

Administrator

Phone

(636) 933-1178

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• JMH AMBULANCE SERVICE Doing business as

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538167333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630280279",
            "telephone_number": "636-933-5730",
            "fax_number": "636-933-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HIGHWAY 61",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284100",
            "telephone_number": "636-933-5730",
            "fax_number": "636-933-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMH DIVISIFIED HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALLEY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "636-933-1178",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSA"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "099121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "122373",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE PARTNERS",
            "identifier": "1033804",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "122373",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE COMPLETE",
            "identifier": "81 81285",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE USA",
            "identifier": "8229",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "241762",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH MARKET",
            "identifier": "3329921",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JMH AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica Lyn Jenks, F.N.P.
• Jeffrey Kenneth Jenks, D.O.
• Angelique K Jennewein, FNP
• Judy Jennewein
• Sarah L Jensen, M.D.
• Joachim Plattin Townships Ambulance District
• John F. Empkey,D.D.S.,P.C
• Jamie Johnson
• Tadarrol Andrew Johnson, DDS
• Jennifer Ijeoma Jones, DMD

• Land Ambulance in Festus, MO
• Providers in Festus, MO by specialty
• Land Ambulance in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.