MEDICARE: COUNTY OF JOHNSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	=========	OTHER	ALL COMMERCIAL INS
2	09471	OTHER	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952397275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF JOHNSON

Provider Business Mailing Address
First Line	:	PO BOX 157
Second Line	:
City	:	TECUMSEH
State	:	NE
Zip	:	68450-0157
Country	:	US
Telephone Number	:	402-335-7792
Fax Number	:

Provider Business Practice Location Address
First Line	:	351 BROADWAY ST
Second Line	:
City	:	TECUMSEH
State	:	NE
Zip	:	68450
Country	:	US
Telephone Number	:	402-335-7792
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER/BILLER
Name	:	EMILIE COLLEEN NEEMANN
Credential	:
Telephone Number	:	402-335-7792

Provider Enumeration Date	:	09/22/2005
Last Update Date	:	07/07/2023

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Directions to “COUNTY OF JOHNSON ” Practice Location

Language	Start Address	Practice Location

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