Organization
SMITH COUNTY AMBULANCE SERVICE
Active
Other names
Smith County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY CROCKETT (DIRECTOR)
(615) 735-2121
Entity
Organization
Contact information
Practice address
303 HIGH ST N, CARTHAGE, TN 37030-1429
(615) 735-6232
(615) 735-9712
Mailing address
303 HIGH ST N, CARTHAGE, TN 37030-1429
(615) 735-6232
(615) 735-9712
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS0000008001
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003290
TENNCARE SELECT
TN
05
—
3500934
—
TN
01
—
4110219
BLUECROSS BLUESHIELD
TN
Enumeration date
02/10/2006
Last updated
01/05/2022
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