NPI 1518948959

County of White

Organisation Land Ambulance Sparta, TN

Practice location

Address: 1 E Bockman Way White Co. Courthouse Rm # 204, Sparta, TN 38583-2049
Phone: (931) 836-3216
Fax: (931) 836-3343
Mailing address: 1 E Bockman Way Rm 204, Sparta, TN 38583-2049

Authorised official

Name: Chad Marcum
Title: Director of Finance
Phone: (931) 836-3216

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence EMS0000009302 (TN)

Other Ambulance providers in Tennessee →

Registry record

NPI: 1518948959
Entity type: Organization
NPI issued: 11 Nov 2005
Record last updated: 12 Jan 2022

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.