# COUNTY OF JOHNSON

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

## Provider details

- **NPI number:** 1407984297
- **Authorized official:** MS. WENDI BAILEY (DIRECTOR)
- **Authorized official phone:** (618) 658-2131

## Contact information

- **Practice address:** 155 INDUSTRIAL DRIVE, VIENNA, IL 62995-0038
- **Practice address phone:** (618) 658-2131
- **Practice address fax:** (618) 658-8134
- **Mailing address:** 155 INDUSTRIAL DRIVE, P.O. BOX 38, VIENNA, IL 62995-0038
- **Mailing address phone:** (618) 658-2131
- **Mailing address fax:** (618) 658-8134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 55018 | IL | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 05/10/2010