Organization
FENTRESS COUNTY
Active
Other names
Fentress County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH DUNFORD (DIRECTOR)
(931) 879-3319
Entity
Organization
Contact information
Practice address
310 S MAIN ST, JAMESTOWN, TN 38556-3845
(931) 879-3319
(931) 879-2943
Mailing address
310 S MAIN ST, P.O. BOX 905, JAMESTOWN, TN 38556-3845
(931) 879-3319
(931) 879-2943
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS0000002501
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3524189
—
TN
Enumeration date
06/17/2006
Last updated
03/21/2019
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