Organization Name: | PICKETT COUNTY GOVERMENT |
NPI Number: | 1649261983 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAXIE BEATY (DIRECTOR) |
Mailing Address: | 8817 Highway 111 Byrdstown |
State: | TN US |
Postal Code: | 385496003 |
Phone Number: | 9318643182 |
Fax Number: | 9318646062 |
NPI Enumeration Date: | 11/04/2005 |
NPI Last Update Date: | 08/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | EMS0000006902 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |