Organization
FELLOWSHIP ASSOC. OF RESOURCE MINISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM BEELER (PRESIDENT)
(865) 933-8752
Entity
Organization
Contact information
Practice address
2941 DOUGLAS DAM RD, KODAK, TN 37764-2027
(865) 933-8752
(865) 933-4230
Mailing address
PO BOX 74, KODAK, TN 37764-0074
(865) 933-8752
(865) 933-4230
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4138591
BLUECROSS & BLUESHIELD
TN
05
—
T000217
—
TN
Enumeration date
02/06/2007
Last updated
08/22/2020
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