Organization · Type 2 NPI
Jackson County Court House Executive
Land Ambulance · Gainesboro, TN
NPI number
1861496341
Active
Practice location
316 N. Murray Street
Gainesboro, TN 38562
Fax (931) 268-3044
Mailing address
PO Box 9150
Paducah, KY 42002-9150
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Land Ambulance Primary | 3416L0300X | EMS0000004401 (TN) |
Land Ambulance: Definition to come...
About NPI 1861496341
Jackson County Court House Executive's National Provider Identifier is 1861496341, issued on Jun 13, 2005. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Gainesboro, TN. The record was last updated on Jun 15, 2021.