Provider Demographics
NPI:1568452431
Name:ROBERTSON COUNTY GOVERNMENT FINANCE OFFICE
Entity type:Organization
Organization Name:ROBERTSON COUNTY GOVERNMENT FINANCE OFFICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:NATHANIEL
Authorized Official - Last Name:DYER
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:615-384-2186
Mailing Address - Street 1:1305 HILL ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:TN
Mailing Address - Zip Code:37172-3200
Mailing Address - Country:US
Mailing Address - Phone:615-384-1414
Mailing Address - Fax:615-384-1293
Practice Address - Street 1:1305 HILL ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:TN
Practice Address - Zip Code:37172-3200
Practice Address - Country:US
Practice Address - Phone:615-384-1414
Practice Address - Fax:615-384-1293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-24
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNEMS00000074013416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY55620264Medicaid
TN3552928Medicaid
TN4100467OtherBLUE CROSS OF TENNESSEE
KY7100626110Medicaid
TN9630OtherTENNCARE SELECT