Organization
BLUE SHIELD AMBULANCE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAHMOUD JBOOR (PRESIDENT)
(888) 857-3667
Entity
Organization
Contact information
Practice address
941 ALLEN RD, NASHVILLE, TN 37214-3598
(888) 857-3667
Mailing address
443 DONELSON PIKE, STE 103, NASHVILLE, TN 37214-3559
(888) 857-3667
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
191419
TN
Other
Enumeration date
04/12/2016
Last updated
07/01/2016
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