NPI 1053316265

County of Montgomery-Office of County Judge

Organisation Land Ambulance Clarksville, TN

Practice location

Address: 601 Dunlop Ln, Clarksville, TN 37040-5015
Phone: (931) 920-1800
Fax: (931) 645-5702

Authorised official

Name: Jimmie Edwards
Title: Chief
Phone: (931) 920-1800

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence EMS0000006301 (TN)

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Registry record

NPI: 1053316265
Entity type: Organization
NPI issued: 15 Jun 2005
Record last updated: 19 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.