Organization
JEFFERSON COUNTY EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD PHILLIPS (DIRECTOR)
(865) 397-7228
Entity
Organization
Contact information
Practice address
581 W OLD AJ HWY, JEFFERSON CITY, TN 37760
(865) 714-9001
(865) 754-9458
Mailing address
931 INDUSTRIAL PARK RD, PO BOX 1206, DANDRIDGE, TN 37725-4701
(865) 397-7228
(865) 397-4687
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS0000004501
TN
Other
Enumeration date
12/16/2011
Last updated
05/01/2023
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