Provider Demographics
NPI:1427053750
Name:UNION COUNTY EMS
Entity type:Organization
Organization Name:UNION COUNTY EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNTY MAYOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHEAL
Authorized Official - Middle Name:R
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-992-7593
Mailing Address - Street 1:211 MULBERRY AVE
Mailing Address - Street 2:
Mailing Address - City:MAYNARDVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37807-3545
Mailing Address - Country:US
Mailing Address - Phone:865-992-7593
Mailing Address - Fax:865-992-7595
Practice Address - Street 1:211 MULBERRY AVE
Practice Address - Street 2:
Practice Address - City:MAYNARDVILLE
Practice Address - State:TN
Practice Address - Zip Code:37807-3545
Practice Address - Country:US
Practice Address - Phone:865-992-7593
Practice Address - Fax:865-992-7595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-14
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNEMS00000100213416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3574799Medicaid
TN4121243OtherBLUE CROSS BLUE SHIELD
TN4094982OtherBLUE CROSS BLUE SHIELD
TN3574799Medicaid