| Organization Name: | JOHNSON RESCUE SQUAD INC |
| NPI Number: | 1073812178 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAWRENCE WASKOWIAK (TREASURER) |
| Mailing Address: | 105 Main St Johnson |
| State: | NE US |
| Postal Code: | 683783580 |
| Phone Number: | 4025724019 |
| Fax Number: | 4029910719 |
| NPI Enumeration Date: | 03/15/2011 |
| NPI Last Update Date: | 03/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 1414 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |