Organization
LAWRENCE CO
Active
Other names
LAWRENCE COUNTY AMBULANCE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN HOLDRIETH (EMS DIRECTOR)
(618) 943-3300
Entity
Organization
Contact information
Practice address
2009 LEXINGTON AVE, LAWRENCEVILLE, IL 62439
(618) 943-3600
(618) 943-6800
Mailing address
2009 LEXINGTON AVE, LAWRENCEVILLE, IL 62439-2064
(618) 943-3600
(618) 943-6800
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
52150
IL
343800000X
Secured Medical Transport (VAN)
1944MC
IL
343900000X
Non-emergency Medical Transport (VAN)
1945MC
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52150
STATE LICENSE
IL
Enumeration date
09/24/2010
Last updated
04/01/2026
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