Organization
MCMINN COUNTY EMERGENCY MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN KEITH TEAGUE EMT-P (INTERIM DIRECTOR)
(423) 745-3336
Entity
Organization
Contact information
Practice address
201 LAWN ST, ATHENS, TN 37303-1724
(423) 745-3336
(423) 745-5935
Mailing address
201 LAWN ST, ATHENS, TN 37303-1724
(423) 745-3336
(423) 745-5935
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS0000010010
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4050270
BLUECARE
TN
01
—
4108565
TENNCARE SELECT
TN
01
—
46050270
BC/BS OF TN
TN
01
—
P00107235
RAILROAD MEDICARE
—
Enumeration date
05/05/2006
Last updated
08/22/2020
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