Cannon County Ambulance Service

LBN: Cannon County Ambulance Service
Cannon County Ambulance Service is an health care organization with primary practice located at 104 Alexander Dr , Woodbury TN 37190-5275. The organization recently has 2 registered licenses in different health care specialties including Transportation Services / Ambulance, Transportation Services / Land Transport. Transportation Services / Land Transport is the primary health care specialty. Cannon County Ambulance Service can be contacted via phone (615) 563-5959, or through Harris, Justin via phone (615) 653-2655.

Contact Information

Primary practice address
104 Alexander Dr Woodbury TN 37190-5275
Fax: (615) 563-6878
Website:
Authorized official contact:
Name: Harris, Justin

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Ambulance 341600000X
Transportation Services / Land Transport 3416L0300X

Profile Details

NPI number 1710950704
LBN Legal business name Cannon County Ambulance Service
DBA Doing business as
Authorized official Harris, Justin
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2006
Last updated Jun 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710950704 NPPES
Tennessee Other 2007454 TENN CARE NON EMERGENCY
Tennessee Other 4110424 TENN CARE NON EMERGENCY
Tennessee Other 4110424 TENN CARE NON EMERGENCY
Tennessee MEDICAID 3525445 TENN CARE NON EMERGENCY

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