Organization
SULLIVAN COUNTY EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM PERRY (CHIEF)
(423) 323-6474
Entity
Organization
Contact information
Practice address
3193 HIGHWAY 126, BLOUNTVILLE, TN 37617
(423) 323-6471
(423) 279-2813
Mailing address
PO BOX 398, BLOUNTVILLE, TN 37617
(423) 323-6474
(423) 279-2813
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
EMS0000008201
TN
341600000X
Ambulance
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002007565
—
TN
05
—
100021464
—
TN
05
—
3520413
—
TN
Enumeration date
07/18/2005
Last updated
06/08/2016
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