Organization
TRANS MED INCORPORATION AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BONNER (DIRECTOR)
(931) 455-2535
Entity
Organization
Contact information
Practice address
211 S ANDERSON ST, TULLAHOMA, TN 37388-3735
(931) 455-2535
(931) 393-2646
Mailing address
PO BOX 416, TULLAHOMA, TN 37388-0416
(931) 455-2535
(931) 393-2646
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1603
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3554917
—
TN
01
—
85080
BLUE CROSS BLUE SHIELD
TN
Enumeration date
08/03/2005
Last updated
07/23/2007
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