Organization
MED-TRANS OF TENNESSEE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE ANTHONY COLLINS (PRESIDENT OWNER)
(423) 745-3132
Entity
Organization
Contact information
Practice address
3 DAVIDSON RD, ATHENS, TN 37303
(423) 745-3132
(423) 745-4673
Mailing address
PO BOX 854, ATHENS, TN 37371
(423) 745-0467
(423) 744-3500
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
5404
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00B72671A
GA MEDICAID
GA
05
—
3560811
—
TN
01
—
590006495
RAIL ROAD MEDICARE
TN
Enumeration date
12/06/2005
Last updated
06/18/2008
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