| Organization Name: | JOHNSON COUNTY MISSOURI AMBULANCE |
| NPI Number: | 1073554861 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MELINDA S POGUE (ADMINISTRATIVE ASSISTANT) |
| Mailing Address: | 263 Se 13 Hwy Warrensburg |
| State: | MO US |
| Postal Code: | 640937575 |
| Phone Number: | 6607475735 |
| Fax Number: | 6607476430 |
| NPI Enumeration Date: | 06/10/2006 |
| NPI Last Update Date: | 07/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 101061 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |