Organization
HAYWOOD COUNTY
Active
Other names
Haywood County Ambulance Authority
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SMITH (DIRECTOR)
(731) 772-4979
Entity
Organization
Contact information
Practice address
1601 WELCH ST, BROWNSVILLE, TN 38012-2334
(731) 772-4979
(731) 772-9943
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-8642
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS0000003801
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3524299
—
TN
01
—
4103637
BC/BS OF TENNESSEE
TN
01
—
709864800
DOL
TN
Enumeration date
11/09/2005
Last updated
03/05/2021
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