Provider Demographics
NPI:1487436101
Name:COUNTY OF JO DAVIESS
Entity type:Organization
Organization Name:COUNTY OF JO DAVIESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRANSIT DIRECTOR/PCOM
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HERMSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-777-8088
Mailing Address - Street 1:710 S WEST ST
Mailing Address - Street 2:
Mailing Address - City:GALENA
Mailing Address - State:IL
Mailing Address - Zip Code:61036-2544
Mailing Address - Country:US
Mailing Address - Phone:815-777-8088
Mailing Address - Fax:
Practice Address - Street 1:710 S WEST ST
Practice Address - Street 2:
Practice Address - City:GALENA
Practice Address - State:IL
Practice Address - Zip Code:61036-2544
Practice Address - Country:US
Practice Address - Phone:815-777-8088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company