Organization
MONROE COUNTY AMBULANCE SERVICE
Active
Other names
Monroe County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY WHITE (DIRECTOR)
(423) 442-4063
Entity
Organization
Contact information
Practice address
210 LEWIS ST., MADISONVILLE, TN 37354-1515
(423) 442-4063
(423) 442-8089
Mailing address
310 TELLICO ST., SUITE 1, MADISONVILLE, TN 37354
(423) 442-4063
(423) 442-8089
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS0000006201
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009850
BCBSTN
TN
05
—
180486
—
TN
01
—
590080330
RR MEDICARE
TN
01
—
800157
FEDBLACKLUNGPROGRAM
TN
Enumeration date
08/18/2006
Last updated
03/30/2020
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