Organization
RHEA AMBULANCE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DARYLE COCHRAN (DIRECTOR)
(423) 775-2143
Entity
Organization
Contact information
Practice address
9460 RHEA COUNTY HWY, DAYTON, TN 37321-7922
(423) 775-2143
(423) 775-4725
Mailing address
9460 RHEA COUNTY HWY, DAYTON, TN 37321-7922
(423) 775-2143
(423) 775-4725
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS0000007201
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3574836
—
TN
01
—
4116821
BLUE CROSS BLUE SHIELD
TN
Enumeration date
01/15/2007
Last updated
08/22/2020
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