Organization Name: | LAUDERDALE COUNTY AMBULANCE AUTHORITY |
NPI Number: | 1154321438 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BEVERLY G BATES (DIRECTOR) |
Mailing Address: | 685 Highway 51 S Ripley |
State: | TN US |
Postal Code: | 380634565 |
Phone Number: | 7316353242 |
Fax Number: | 7316355989 |
NPI Enumeration Date: | 07/28/2005 |
NPI Last Update Date: | 12/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | EMS0000004901 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |