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Organization
COUNTY OF JOHNSON
Active
Organization
COUNTY OF JOHNSON
Active
Other names
Johnson County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WENDI BAILEY (DIRECTOR)
(618) 658-2131
Entity
Organization
Contact information
Practice address
155 INDUSTRIAL DRIVE, VIENNA, IL 62995-0038
(618) 658-2131
(618) 658-8134
Mailing address
155 INDUSTRIAL DRIVE, P.O. BOX 38, VIENNA, IL 62995-0038
(618) 658-2131
(618) 658-8134
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
55018
IL
Other
Enumeration date
03/01/2007
Last updated
05/10/2010
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