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Organization

WARREN COUNTY TTEE

Active
Parent organization
WARREN COUNTY TTEE
Organization subpart
Yes

Provider details

NPI number
Legal business name
WARREN COUNTY TTEE
Authorized official
TERESA A LAWSON (BILLING CLERK)
(931) 473-6902
Entity
Organization

Contact information

Practice address
103 MAGNESS DR, MCMINNVILLE, TN 37110-1321
(931) 473-6902
(931) 473-8473
Mailing address
103 MAGNESS DR, MCMINNVILLE, TN 37110-1321
(931) 473-6902
(931) 473-8473

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
EMS0000008901
TN
3416L0300X
Land Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3554384
TN
01
80473
TENCARE SELECT BLUE CROSS
Enumeration date
12/13/2005
Last updated
09/11/2024
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