# COUNTY OF JASPER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jasper County Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205943347
- **Authorized official:** LORI GUERRETTAZ (MANAGER)
- **Authorized official phone:** (531) 895-5853

## Contact information

- **Practice address:** 204 W JOURDAN ST, NEWTON, IL 62448-1931
- **Practice address phone:** (618) 783-8651
- **Practice address fax:** (618) 783-5812
- **Mailing address:** 204 W JOURDAN ST, NEWTON, IL 62448-1931
- **Mailing address phone:** (618) 783-8651
- **Mailing address fax:** (618) 783-5812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | NULL | — |
| 3416L0300X | Land Ambulance | 65147 | IL | Yes |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 06/18/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 233110 | PTAN | IL |
| 01 | — | 65147 | IDPH LICENSE | IL |