Organization
MARSHALL COUNTY GOVERNMENT
Active
Other names
Marshall County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN REESE (EMS DIRECTOR)
(931) 359-0540
Entity
Organization
Contact information
Practice address
728 SOUTH ELLINGTON PARKWAY, LEWISBURG, TN 37091-3460
(931) 359-0540
(931) 359-0546
Mailing address
728 S ELLINGTON PKWY, LEWISBURG, TN 37091-3460
(931) 359-0540
(931) 359-0546
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS0000005901
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006152
BLUE CROSS BLUE SHIELD TN
TN
05
—
3523823
—
TN
01
—
4110416
BLUE CROSS BLUE SHIELD OF
TN
Enumeration date
08/03/2005
Last updated
02/19/2021
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