Organization
NORTHWEST TENNESSEE HUMAN RESOURCE AGENCY
Active
Other names
Transportation Division
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMY BRADBERRY (TRANSPORTATION DIRECTOR)
(731) 587-2903
Entity
Organization
Contact information
Practice address
513 N LINDELL ST, MARTIN, TN 38237-1821
(731) 587-2903
Mailing address
513 N LINDELL ST, MARTIN, TN 38237-1821
(731) 587-2903
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000273
—
TN
Enumeration date
12/16/2015
Last updated
12/16/2015
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