Organization
CITY OF BRISTOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI BOURGEOIS (CITY MANAGER)
(423) 989-5503
Entity
Organization
Contact information
Practice address
211 BLUFF CITY HWY, BRISTOL, TN 37620-4214
(423) 989-5701
(423) 989-5701
Mailing address
PO BOX 1000, DEPT #15, MEMPHIS, TN 38148-0001
(888) 466-7964
(614) 987-1989
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
EMS0000010023
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801884275
—
VA
05
—
3574726
—
TN
01
—
P00102334
RAILROAD MEDICARE
TN
Enumeration date
10/11/2005
Last updated
09/29/2025
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