Provider Demographics
NPI:1528124484
Name:COUNTY OF CHEATHAM
Entity type:Organization
Organization Name:COUNTY OF CHEATHAM
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:R
Authorized Official - Last Name:HUDSPETH
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:615-812-3934
Mailing Address - Street 1:PO BOX 9150
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42002-9150
Mailing Address - Country:US
Mailing Address - Phone:270-744-9600
Mailing Address - Fax:270-744-8642
Practice Address - Street 1:3455 BELL STREET
Practice Address - Street 2:
Practice Address - City:ASHLAND CITY
Practice Address - State:TN
Practice Address - Zip Code:37015
Practice Address - Country:US
Practice Address - Phone:615-792-4324
Practice Address - Fax:615-792-2056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3524390Medicaid
TN3003643OtherBLUE CROSS BLUE SHIELD
TN590101407OtherRAILROAD MEDICARE
TN3524390Medicare PIN