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
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