City of Mattoon Illinois

Primary specialty

AmbulanceTaxonomy code 341600000X

License

06 6689 Issued in IL

Legal business name

CITY OF MATTOON ILLINOIS

Practice address

1812 Prairie Ave
Mattoon, IL 61938-2951

Phone

(217) 234-2442

Fax

(217) 234-2448

NPI assigned

May 15, 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 W Cline

Title

Mayor

Phone

(217) 234-4633

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1922275106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 PRAIRIE AVE",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619382951",
            "telephone_number": "217-234-2442",
            "fax_number": "217-234-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 PRAIRIE AVE",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619382951",
            "telephone_number": "217-234-2442",
            "fax_number": "217-234-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MATTOON ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MAYOR",
        "authorized_official_telephone_number": "217-234-4633",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "06 6689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly M. Childress, B.A.
• Seong R Cho, MD
• Christie Clinic, LLC
• Lyndsy Christman, BS
• Victoria Lynn Cisneros, BA
• Lisa K Clapp
• Amy J Clark, SLP
• Angela Clark, OTR/L
• Christine Clark, M.S.
• Evans Clark

• Ambulance in Mattoon, IL
• Providers in Mattoon, IL by specialty
• Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.