Provider Demographics
NPI:1689848111
Name:CITY OF QUINCY ILLINOIS
Entity Type:Organization
Organization Name:CITY OF QUINCY ILLINOIS
Other - Org Name:QUINCY TRANSIT LINES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MAYOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SPRING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-228-4500
Mailing Address - Street 1:2020 JENNIFER ROAD
Mailing Address - Street 2:730 MAINE STREET
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62301
Mailing Address - Country:US
Mailing Address - Phone:217-228-4550
Mailing Address - Fax:217-221-2289
Practice Address - Street 1:2020 JENNIFER LN
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:IL
Practice Address - Zip Code:62301-1478
Practice Address - Country:US
Practice Address - Phone:217-228-4550
Practice Address - Fax:217-221-2289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========OtherHFS