Organization
COUNTY OF GIBSON
Active
Other names
Gibson County Emergency Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FOWLKES (DIRECTOR)
(731) 855-7614
Entity
Organization
Contact information
Practice address
1246 S MANUFACTURERS ROW, TRENTON, TN 38382-3637
(731) 855-7614
(731) 855-7691
Mailing address
PO BOX 410, TRENTON, TN 38382-0410
(731) 855-7614
(731) 855-7691
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS0000002702
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3519909
—
TN
01
—
4103636
BLUE CROSS AND BLUE SHIEL
TN
Enumeration date
08/09/2006
Last updated
08/06/2025
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