Organization
WASHINGTON COUNTY-JOHNSON CITY EMERGENCY MEDICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI KEMP CPA (COMPTROLLER)
(423) 975-5500
Entity
Organization
Contact information
Practice address
296 WESLEY ST, JOHNSON CITY, TN 37601-1720
(423) 975-5500
(423) 975-5505
Mailing address
PO BOX 5928, JOHNSON CITY, TN 37602-5928
(844) 347-1063
(888) 974-1293
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS0000009001
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4110024
BLUE CROSS BLUE SHIELD
TN
Enumeration date
08/05/2006
Last updated
01/24/2017
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