Organization
COUNTY OF BRADLEY COUNTY FUND
Active
Other names
Bradley County Emergency Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER STACY (OFFICE MANAGER)
(423) 728-7010
Entity
Organization
Contact information
Practice address
499 PAUL HUFF PKWY NW, CLEVELAND, TN 37312-2968
(423) 728-7010
(423) 476-0496
Mailing address
PO BOX 1167, CLEVELAND, TN 37364-1167
(423) 728-7010
(423) 476-0496
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS0000000601
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3524226
—
TN
Enumeration date
12/16/2005
Last updated
04/12/2024
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