Lake County Emergency Medical Service

LBN: County Of Lake
Lake County Emergency Medical Service is an health care organization with primary practice located at 333 Kentucky St , Tiptonville TN 38079-1212. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. County Of Lake can be contacted via phone (731) 253-9911, or through Roberson, Macie M via phone (731) 253-7382.

Contact Information

Primary practice address
333 Kentucky St Tiptonville TN 38079-1212
Phone: (731) 253-9911
Fax: (731) 253-3229
Website:
Map and Directions
Authorized official contact:
Name: Roberson, Macie M
Phone: (731) 253-7382

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X EMS0000004801 Tennessee

Profile Details

NPI number 1730179250
LBN Legal business name County Of Lake
DBA Doing business as Lake County Emergency Medical Service
Authorized official Roberson, Macie M
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2005
Last updated Feb 14th, 2013 - about 11 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 1730179250 NPPES
Tennessee MEDICAID 3525546
Tennessee MEDICAID 21851

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