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Organization

TRI-CITIES TRANSPORTATION

Active
Other names
Brady A Lewis d/b/a Tri-Cities Transportation
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRADY A LEWIS (OWNER)
(423) 791-4658
Entity
Organization

Contact information

Practice address
804 HILLMOOR DR, JOHNSON CITY, TN 37601-2106
(423) 791-4658
(423) 926-0362
Mailing address
804 HILLMOOR DR, JOHNSON CITY, TN 37601-2106
(423) 791-4658
(423) 926-0362

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100043616
PHP
TN
01
4065730
BLUECARE
TN
05
T000157
TN
Enumeration date
03/14/2007
Last updated
07/25/2008
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