Organization Name: | MEDTRUST MEDICAL SERVICES INC. |
NPI Number: | 1144592262 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER M RODES (PRESIDENT) |
Mailing Address: | 144 Reed Ln Ste A Sneedville |
State: | TN US |
Postal Code: | 378696457 |
Phone Number: | 4238395314 |
Fax Number: | 8775366917 |
NPI Enumeration Date: | 02/05/2012 |
NPI Last Update Date: | 02/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 666950 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |