CITY OF JACKSONVILLE (NPI# 1730188673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730188673 |
| Entity Type | Organization |
| Organization Name | CITY OF JACKSONVILLE |
| Practice Address |
506 Chinabee Ave Se Jacksonville AL 36265-2881 |
| Mailing Address |
320 Church Ave Se Jacksonville AL 36265-2651 |
| Practice Telephone | 2564357611 |
| Practice Fax Number | 2564354103 |
| Mailing Telephone | 2564357611 |
| Mailing Fax Number | 2564354103 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2011-02-09 |
| Authorized Official Name | MR. JOHNNY L SMITH (MAYOR) |
| Authorized Official Telephone | 2564357611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
040281 | AL | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 200008103 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902895055 | City of Jacksonville | Ambulance | 900 N Redmond Rd, Jacksonville, AR 72076-3623 | 2005-10-20 |
| 1356341531 | City of Jacksonville | Ambulance | 515 N Julia St, Jacksonville, FL 32202-4128 | 2005-07-28 |
| 1346305828 | City of Jacksonville | Ambulance | 301 S Main St, Jacksonville, TX 75766-4925 | 2006-12-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CITY OF JACKSONVILLE BEACH | 11 N 3rd St, Jacksonville Beach, FL 32250-6930 |
| Street Address |
506 CHINABEE AVE SE |
| City | JACKSONVILLE |
| State | AL |
| Zip Code | 36265-2881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700436144 | Griffin Loflin | Specialist/Technologist | 775 Park Ave Nw, Attn. Sports Medicine, Jacksonville, AL 36265 | 2019-09-17 |
| 1114304011 | Caroline Ross | Counselor | 1215 Jackson Way Sw, Jacksonville, AL 36265 | 2015-04-29 |
| 1083001226 | Tracey Hudgins | Counselor | 1215 Jackson's Way, Jacksonville, AL 36265 | 2015-04-24 |
| 1235415118 | Adam Pike | Pharmacist | 311 Pelham Rd So, Jacksonville, AL 36265 | 2011-10-24 |
| 1386829489 | Physicians Choice Dialysis of Jacksonville, LLC | Clinic/Center | 331 Henry Road Sw, Jacksonville, AL 36265 | 2008-01-08 |
| 1659409365 | Kenneth Wayne Campbell | Nurse Anesthetist, Certified Registered | 1701 Pelham Road, Jacksonville Medical Center, Jacksonville, AL 36265 | 2007-03-02 |
| 1154478378 | Diana C. Ford | Counselor | 1250 Jackson's Way, Garrett Counseling Center, Jacksonville, AL 36265 | 2007-01-03 |
| 1487710950 | James Richard Morrison | Chiropractor | 1550 Pelham Rd. S., Jacksonville, AL 36265 | 2006-12-29 |
| 1447332937 | Millennium Anesthesia Services | Anesthesiology | 1701 Pelham Road S, Jacksonville, AL 36265 | 2006-10-20 |
| 1407943228 | Brunda Revanna, Md | Clinic/Center | 1465 A 1st Ave Sw Ste C, Jacksonville, AL 36265 | 2006-10-05 |
| Find all providers in zip 36265 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568008977 | Ameripro Ems of Florida, LLC | Ambulance | 4810 Executive Park Ct Ste 112, Jacksonville, FL 32216-6018 | 2019-11-20 |
| 1265097513 | Mayo Clinic Jacksonville | Ambulance | 13970 Zumbro Dr, Jacksonville, FL 32224 | 2019-05-02 |
| 1841763984 | Kindred Care Ems LLC | Ambulance | 6824 Norwood Ave, Jacksonville, FL 32208-4471 | 2019-01-10 |
| 1477942050 | Jax Patient Care | Ambulance | 100 Wharfside Way # A, Jacksonville, FL 32207-8104 | 2015-01-20 |
| 1245488857 | Village of South Jacksonville | Ambulance | 301 Dewey Dr, Jacksonville, IL 62650-3206 | 2008-09-08 |
| 1013070382 | Herbert Steven Pridgen | Ambulance | 705 Grants Creek Rd, Jacksonville, NC 28546-9644 | 2006-12-18 |
| 1679662886 | Ambulance Service, Inc. | Ambulance | 5995 Philips Hwy, Jacksonville, FL 32216-5916 | 2006-10-12 |
| 1720027147 | County of Onslow | Ambulance | 1180 Commons Dr N, Jacksonville, NC 28546-6965 | 2006-06-05 |
| 1932153335 | Century Ambulance Service, Inc. | Ambulance | 2110 Herschel St, Jacksonville, FL 32204-3820 | 2006-05-20 |
| 1902895055 | City of Jacksonville | Ambulance | 900 N Redmond Rd, Jacksonville, AR 72076-3623 | 2005-10-20 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 36265 |
Please comment or provide details below to improve the information on CITY OF JACKSONVILLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.