| Organization Name: | CLAIBORNE EMS LLC |
| NPI Number: | 1376954487 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN T GEPPI (EXECUTIVE VP) |
| Mailing Address: | 1809 Old Knoxville Rd Tazewell |
| State: | TN US |
| Postal Code: | 378793632 |
| Phone Number: | 8653746872 |
| Fax Number: | 4236261742 |
| NPI Enumeration Date: | 05/12/2014 |
| NPI Last Update Date: | 05/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 10180 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |