Cocke County Ambulance Service Inc

LBN: Cocke County Ambulance Service Inc
Cocke County Ambulance Service Inc is an health care organization with primary practice located at 245 Bybee Rd , Newport TN 37821-4603. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Cocke County Ambulance Service Inc can be contacted via phone (423) 608-3109, or through Holt, Jerry A via phone (423) 608-3109.

Contact Information

Primary practice address
245 Bybee Rd Newport TN 37821-4603
Phone: (423) 608-3109
Fax: (623) 625-4043
Website:
Map and Directions
Authorized official contact:
Name: Holt, Jerry A PARAMEDIC
Phone: (423) 608-3109

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X EMS0000010024 Tennessee

Profile Details

NPI number 1871554824
LBN Legal business name Cocke County Ambulance Service Inc
DBA Doing business as
Authorized official Holt, Jerry A PARAMEDIC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1871554824 NPPES
Tennessee MEDICAID 3574698
Tennessee Other 4096970

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