Organization · Type 2 NPI

Fentress County

Land Ambulance · Jamestown, TN

NPI number 1871538728 Active

Practice location

310 S Main St
Jamestown, TN 38556-3845

Fax (931) 879-2943

Specialties and licenses

Taxonomy	Code	License
Land Ambulance Primary	3416L0300X	EMS0000002501 (TN)

Land Ambulance: Definition to come...

NPI record

NPI: 1871538728
Entity type: Organization (Type 2)
Issued: Jun 17, 2006
Last updated: Mar 21, 2019
Status: Active

Other names

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Fentress County Ambulance Service · doing business as
Fentress County Ambulance Service · doing business as

Authorized official

Micah Dunford
Director
(931) 879-3319

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1871538728

Fentress County's National Provider Identifier is 1871538728, issued on Jun 17, 2006. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Jamestown, TN. The record was last updated on Mar 21, 2019.