Provider Demographics
NPI:1851370134
Name:COUNTY OF JOHNSON
Entity Type:Organization
Organization Name:COUNTY OF JOHNSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LENARD
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:SPENLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-356-6013
Mailing Address - Street 1:808 SO DUBUQUE ST
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-4204
Mailing Address - Country:US
Mailing Address - Phone:319-356-6013
Mailing Address - Fax:319-351-0695
Practice Address - Street 1:808 SO DUBUQUE ST
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-4204
Practice Address - Country:US
Practice Address - Phone:319-356-6013
Practice Address - Fax:319-351-0695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-13
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA25203003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0063354Medicaid
IA0063354Medicaid