Provider Demographics
NPI:1952397275
Name:COUNTY OF JOHNSON
Entity Type:Organization
Organization Name:COUNTY OF JOHNSON
Other - Org Name:JOHNSON COUNTY AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER/BILLER
Authorized Official - Prefix:
Authorized Official - First Name:EMILIE
Authorized Official - Middle Name:COLLEEN
Authorized Official - Last Name:NEEMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-335-7792
Mailing Address - Street 1:PO BOX 157
Mailing Address - Street 2:
Mailing Address - City:TECUMSEH
Mailing Address - State:NE
Mailing Address - Zip Code:68450-0157
Mailing Address - Country:US
Mailing Address - Phone:402-335-7792
Mailing Address - Fax:
Practice Address - Street 1:351 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:TECUMSEH
Practice Address - State:NE
Practice Address - Zip Code:68450
Practice Address - Country:US
Practice Address - Phone:402-335-7792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-22
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherALL COMMERCIAL INS
09471OtherBLUE CROSS BLUE SHIELD
NE=========Medicaid
091735Medicare ID - Type Unspecified