Organization
EMPACT AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK O'NEILL (MANAGING PARTNER)
(615) 971-0663
Entity
Organization
Contact information
Practice address
109 THREET INDUSTRIAL RD, SUITE 7, SMYRNA, TN 37167-6842
(615) 223-5995
(615) 223-5651
Mailing address
PO BOX 788, SMYRNA, TN 37167-0788
(615) 223-5995
(615) 223-5651
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517864
—
TN
Enumeration date
09/02/2009
Last updated
05/03/2010
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