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Organization

COUNTY OF WHITE

Active
Parent organization
WHITE COUNTY EMS
Organization subpart
Yes

Provider details

NPI number
Legal business name
WHITE COUNTY EMS
Authorized official
CHAD MARCUM (DIRECTOR OF FINANCE)
(931) 836-3216
Entity
Organization

Contact information

Practice address
1 E BOCKMAN WAY, WHITE CO. COURTHOUSE RM # 204, SPARTA, TN 38583-2049
(931) 836-3216
(931) 836-3343
Mailing address
1 E BOCKMAN WAY, RM 204, SPARTA, TN 38583-2049
(931) 836-3216
(931) 836-3343

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS0000009302
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
108250
COMMERICAL
TN
Enumeration date
11/11/2005
Last updated
01/12/2022
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