| Organization Name: | UNICOI AMBULANCE SERVICE, INC. |
| NPI Number: | 1245539196 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | G. WALLACE ELLIOTT (PRESIDENT/CEO) |
| Mailing Address: | 1570 Jackson Love Hwy Erwin |
| State: | TN US |
| Postal Code: | 376509228 |
| Phone Number: | 4237644942 |
| Fax Number: | 4237642064 |
| NPI Enumeration Date: | 03/17/2011 |
| NPI Last Update Date: | 03/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | CURRENTLY SUBMITTING |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |