Organization
BUFFALO RIVER TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENA J HOLDER (OWNER)
(931) 589-2583
Entity
Organization
Contact information
Practice address
110 HOLDER STATION RD, LINDEN, TN 37096-6054
(931) 589-2583
(931) 589-3004
Mailing address
110 HOLDER STATION RD, LINDEN, TN 37096-6054
(931) 589-2583
(931) 589-3004
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
320928
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
181614
BB TENNSELECT
TN
05
—
T000151
—
TN
Enumeration date
02/12/2007
Last updated
08/22/2020
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