Organization
JEFFERSON COUNTY EMERGENCY MEDICAL SERV.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOESPH B. PHILLIPS JR. (DIRECTOR)
(865) 397-7228
Entity
Organization
Contact information
Practice address
911 INDUSTRIAL PARK RD, DANDRIDGE, TN 37725-4701
(865) 397-7228
(865) 397-4687
Mailing address
931 INDUSTRIAL PARK RD, PO BOX 1206, DANDRIDGE, TN 37725-4701
(865) 397-7228
(865) 397-4687
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS0000004501
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000161
PHP TENNCARE
TN
05
—
3574818
—
TN
01
—
4088822
BLUE CARE/TENNCARE SELECT
TN
01
—
4092741
COMMERCIAL BCBS OF TN
TN
Enumeration date
06/21/2006
Last updated
08/22/2020
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