WARREN COUNTY TTEE NPI 1790760767

NPI Information

NPI: 1790760767
Provider Name: WARREN COUNTY TTEE
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 44D1050099

Address:
103 MAGNESS DR
MCMINNVILLE, TN
ZIP 37110
Phone: (931) 473-6902
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WARREN COUNTY TTEE is a land transport ambulance in Mcminnville, TN. WARREN COUNTY TTEE NPI is 1790760767. The provider is registered as an organization entity type.

The provider's business location address is:

103 MAGNESS DR
MCMINNVILLE, TN
ZIP 37110-321
Phone: (931) 473-6902
Fax: (931) 473-8473

The provider's authorized official is Connie S Oliver .
The authorized official title is Bookkeeper and has the following contact phone number (931) 473-6902.

The CLIA number assigned to this NPI record is 44D1050099 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/13/2005 and was last updated on 6/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	341600000X	Ambulance		EMS0000008901	TENNESSEE	No
2	3416L0300X	Ambulance	Land Transport			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3554384	MEDICAID	TENNESSEE
2	80473	OTHER		TENCARE SELECT BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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