Organization
KNOXVILLE-KNOX COUNTY COMMUNITY ACTION COMMITTEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA KELLY (EXECUTIVE DIRECTOR)
(865) 546-3500
Entity
Organization
Contact information
Practice address
2247 WESTERN AVE, KNOXVILLE, TN 37921-5756
(865) 524-0319
(865) 546-9013
Mailing address
PO BOX 51650, KNOXVILLE, TN 37950-1650
(865) 524-0319
(865) 546-9013
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440675
—
TN
Enumeration date
01/04/2007
Last updated
08/22/2020
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