GREG JONES NPI 1750555470

NPI Information

NPI: 1750555470
Provider Name: GREG JONES
Classification: Ambulance - 3416S0300X
Entity Type: Organization

Specialization: Water Transport

Address:
3704 PONTOON RD
GRANITE CITY, IL
ZIP 62040
Phone: (618) 931-3368
Get Directions

GREG JONES is a water transport ambulance in Granite City, IL. GREG JONES NPI is 1750555470. The provider is registered as an organization entity type.

The provider's business location address is:

3704 PONTOON RD
GRANITE CITY, IL
ZIP 62040-240
Phone: (618) 931-3368

The provider's authorized official is Greg Jones .
The authorized official title is Dmd Pc and has the following contact phone number (618) 931-3368.

The enumeration date for this NPI number is 4/14/2008 and was last updated on 4/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416S0300X	Ambulance	Water Transport		ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0000099999	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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