Organization
CARTER COUNTY EMERGENCY & RESCUE SQUAD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY L ARNOLD (CEO/EMS DIRECTOR)
(423) 543-5445
Entity
Organization
Contact information
Practice address
105 IODENT WAY, ELIZABETHTON, TN 37643-6003
(423) 542-8421
(423) 543-4323
Mailing address
PO BOX 776, ELIZABETHTON, TN 37644-0776
(423) 542-8421
(423) 543-4323
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS0000001001
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3561580
—
TN
01
—
4110142
BCBS
TN
01
—
477503002A
PEACHCARE
GA
01
—
590007149
PGBA
TN
Enumeration date
09/01/2005
Last updated
08/19/2021
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