Organization
VAN BUREN COUNTY COURTHOUSE SQ
Active
Other names
Van Buren County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIWANNA BRICKER EMT-P (DIRECTOR)
(931) 946-8181
Entity
Organization
Contact information
Practice address
112 GENERATIONS DR, SPENCER, TN 38585-3027
(931) 946-8181
(931) 946-8182
Mailing address
112 GENERATIONS DR, SPENCER, TN 38585-3027
(931) 946-8181
(931) 946-8182
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS0000009996
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3129083
BCBS NON-EMERGENCY
TN
01
—
4121233
BCBS EMERGENCY
TN
Enumeration date
11/06/2005
Last updated
01/18/2012
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