Organization
UNICOI AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. G. WALLACE ELLIOTT (PRESIDENT/CEO)
(423) 764-4942
Entity
Organization
Contact information
Practice address
1570 JACKSON LOVE HWY, ERWIN, TN 37650-9228
(423) 764-4942
(423) 764-2064
Mailing address
1718 SHELBY ST, BRISTOL, TN 37620-1938
(423) 764-4942
(423) 764-2064
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
CURRENTLY SUBMITTING
TN
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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