City of Jacksonville

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

040281 Issued in AL

Legal business name

CITY OF JACKSONVILLE

Practice address

506 Chinabee Ave SE
Jacksonville, AL 36265-2881

Phone

(256) 435-7611

Fax

(256) 435-4103

NPI assigned

Jul 20, 2005

Last updated

Feb 9, 2011By 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. Johnny L Smith

Title

Mayor

Phone

(256) 435-7611

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1730188673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CHURCH AVE SE",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362652651",
            "telephone_number": "256-435-7611",
            "fax_number": "256-435-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 CHINABEE AVE SE",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362652881",
            "telephone_number": "256-435-7611",
            "fax_number": "256-435-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF JACKSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MAYOR",
        "authorized_official_telephone_number": "256-435-7611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "040281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginger L Caudell, ALC, M.S.
• Anmarie Chandler, NP-C
• Chelsea Nicole Chandler, O.D.
• David Glenn Chandler, O.D.,PC
• Susan Dianne Cheatwood, LPN
• Kyle Andrew Clapper
• Briyana Clark
• Christopher Marvin Clark, ATC
• Dakota B Clark, DMD
• Julie Clark, PHARMD

• Land Ambulance in Jacksonville, AL
• Providers in Jacksonville, AL by specialty
• Land Ambulance in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.