Organization
LIFELINE AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY G THOMAS (OWNER)
(865) 585-3952
Entity
Organization
Contact information
Practice address
428 TOM BALL ROAD, TAZEWELL, TN 37879-2512
(865) 585-3952
(423) 815-1509
Mailing address
PO BOX 444, TAZEWELL, TN 37879-0444
(865) 585-3952
(423) 815-1509
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
08/30/2017
Last updated
02/17/2021
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