Organization
COUNTY OF CAMPBELL
Active
Other names
Campbell County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE PERKINS (DIRECTOR)
(423) 562-6151
Entity
Organization
Contact information
Practice address
136 NORTH MASSACHUSETTS AVE, LAFOLLETTE, TN 37766
(423) 562-6201
(423) 562-0535
Mailing address
PO BOX 843, JACKSBORO, TN 37757
(423) 562-6201
(423) 562-0535
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
EMS0000000701
TN
3416L0300X
Land Ambulance
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
EMS0000000701
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3574449
—
TN
Enumeration date
11/07/2006
Last updated
05/15/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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