Organization
OVERTON COUNTY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM MORGAN (DIRECTOR)
(931) 823-6402
Entity
Organization
Contact information
Practice address
5900 BRADFORD HICKS DRIVE, LIVINGSTON, TN 38570-2236
(931) 823-6402
(931) 823-7739
Mailing address
5900 BRADFORD HICKS DRIVE, LIVINGSTON, TN 38570-2236
(931) 823-6402
(931) 823-7739
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
EMS0000006702
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2007603
—
TN
01
—
4115321
EMERG TENNCARE AND BCBSTN
TN
Enumeration date
01/27/2006
Last updated
10/26/2011
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