Organization
EMERGENCY COVERAGE SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDAL L DABBS M.D. (PRESIDENT)
(865) 604-3115
Entity
Organization
Contact information
Practice address
1607 S LOCUST AVE, LAWRENCEBURG, TN 38464-4011
(931) 762-6571
Mailing address
P O BOX 634909, CINCINNATI, OH 45263-4909
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50010078
PASSPORT MEDICAID
KY
05
—
7100004670
—
KY
05
—
78904612
—
KY
Enumeration date
06/06/2006
Last updated
09/10/2020
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