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Organization

STEWART COUNTY EMS

Active
Other names
Stewart County Goverment
Organization subpart
No

Provider details

NPI number
Authorized official
ROBYN WATKINS (ACCOUNTS BILLING MANAGER)
(931) 232-1190
Entity
Organization

Contact information

Practice address
719 SPRING ST, DOVER, TN 37058-3208
(931) 232-3093
(931) 232-4859
Mailing address
PO BOX 487, DOVER, TN 37058-0487
(931) 232-3093
(931) 232-4859

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
EMS00000008101
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3149125
BLUECROSSBLUESHIELD-NONE
TN
05
3574312
TN
01
4099800
BLUECROSSBLUESHIELD-EMER
TN
05
4099800
TN
Enumeration date
06/13/2005
Last updated
01/10/2008
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