Organization
LAUDERDALE COUNTY AMBULANCE AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM RIVES SEAY (DIRECTOR)
(731) 635-3242
Entity
Organization
Contact information
Practice address
685 HIGHWAY 51 S, RIPLEY, TN 38063-4565
(731) 635-3242
(731) 635-5989
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-8413
(270) 744-8642
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS0000004901
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3526701
—
TN
01
—
710759500
DOL - FECA/ BL / ENERGY
TN
01
—
849752
WELLCARE
TN
Enumeration date
07/28/2005
Last updated
03/15/2021
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