Southeast Ambulance, Llc

LBN: Southeast Ambulance, Llc
Southeast Ambulance, Llc is an health care organization with primary practice located at 2511 Riverside Dr Suite C-3, Chattanooga TN 37406-3700. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Southeast Ambulance, Llc can be contacted via phone (423) 624-9990, or through Henderlight, Jimmy E via phone (423) 624-9990.

Contact Information

Primary practice address
2511 Riverside Dr Suite C-3 Chattanooga TN 37406-3700
Phone: (423) 624-9990
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Henderlight, Jimmy E
Phone: (423) 624-9990

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X EMS0000010029 Tennessee

Profile Details

NPI number 1861551731
LBN Legal business name Southeast Ambulance, Llc
DBA Doing business as
Authorized official Henderlight, Jimmy E
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 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 1861551731 NPPES
Tennessee MEDICAID 3474827

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