Organization
COUNTY OF CROCKETT
Active
Other names
Crockett County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
GARY M REASONS (MAYOR)
(731) 696-5571
Entity
Organization
Contact information
Practice address
872 S CAVALIER DR, ALAMO, TN 38001-3857
(731) 696-5571
(731) 696-2209
Mailing address
872 S CAVALIER DR, ALAMO, TN 38001-3857
(731) 696-5571
(731) 696-2209
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS0000001701
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9843
BCBS OF TN
TN
Enumeration date
08/31/2005
Last updated
06/25/2021
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