Organization
UNION COUNTY EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHEAL R WILLIAMS (COUNTY MAYOR)
(865) 992-7593
Entity
Organization
Contact information
Practice address
211 MULBERRY AVE, MAYNARDVILLE, TN 37807-3545
(865) 992-7593
(865) 992-7595
Mailing address
211 MULBERRY AVE, MAYNARDVILLE, TN 37807-3545
(865) 992-7593
(865) 992-7595
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS0000010021
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3574799
—
TN
01
—
4094982
BLUE CROSS BLUE SHIELD
TN
01
—
4121243
BLUE CROSS BLUE SHIELD
TN
Enumeration date
06/14/2005
Last updated
12/17/2010
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