Organization
GREENE COUNTY GREENEVILLE EMERGENCY MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA NICOLE BOWERS (OFFICE MANAGER)
(423) 798-1720
Entity
Organization
Contact information
Practice address
1027 FOREST ST, GREENEVILLE, TN 37743-4611
(423) 798-1720
(423) 798-1721
Mailing address
1027 FOREST ST, GREENEVILLE, TN 37743-4611
(423) 798-1720
(423) 798-1721
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS0000003001
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100021810
—
TN
01
—
4120193
BLUE CROSS BLUE SHIELD
TN
Enumeration date
11/01/2005
Last updated
06/16/2021
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