Organization
AMBULANCE SERVICE OF BRISTOL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE W ELLIOTT (CEO)
(423) 764-4942
Entity
Organization
Contact information
Practice address
1718 SHELBY ST, BRISTOL, TN 37620-1938
(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
341600000X
Ambulance
Primary
9925
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080041100
FEDERAL BLACK LUNG
—
05
—
3568905
—
TN
Enumeration date
03/10/2006
Last updated
07/30/2008
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