| Organization Name: | CITY OF MIDDLESBORO |
| NPI Number: | 1275583577 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIM A WILDER (FIRE CHIEF EMS DIRECTOR) |
| Mailing Address: | 215 North 20th Middlesboro |
| State: | KY US |
| Postal Code: | 40965 |
| Phone Number: | 6062422332 |
| Fax Number: | 6062482168 |
| NPI Enumeration Date: | 05/10/2006 |
| NPI Last Update Date: | 09/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 1439 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |