# LAWRENCE CO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LAWRENCE COUNTY AMBULANCE SERVICE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760791792
- **Authorized official:** RYAN HOLDRIETH (EMS DIRECTOR)
- **Authorized official phone:** (618) 943-3300

## Contact information

- **Practice address:** 2009 LEXINGTON AVE, LAWRENCEVILLE, IL 62439
- **Practice address phone:** (618) 943-3600
- **Practice address fax:** (618) 943-6800
- **Mailing address:** 2009 LEXINGTON AVE, LAWRENCEVILLE, IL 62439-2064
- **Mailing address phone:** (618) 943-3600
- **Mailing address fax:** (618) 943-6800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 52150 | IL | Yes |
| 343800000X | Secured Medical Transport (VAN) | 1944MC | IL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | 1945MC | IL | — |

## Other

- **Enumeration date:** 09/24/2010
- **Last updated:** 04/01/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 52150 | STATE LICENSE | IL |