MEDICARE: CITY OF BARTLETT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	EMS0000007906	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588662266
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF BARTLETT

Provider Business Mailing Address
First Line	:	2939 ALTRURIA RD
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38134-3861
Country	:	US
Telephone Number	:	901-385-5536
Fax Number	:	901-385-9917

Provider Business Practice Location Address
First Line	:	2939 ALTRURIA RD
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38134-3861
Country	:	US
Telephone Number	:	901-385-5536
Fax Number	:	901-385-9917

Authorized Official
Title or Position	:	CHIEF ADMIN OFFICER
Name	:	MARK STEVEN BROWN
Credential	:
Telephone Number	:	901-385-5536

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	05/19/2025

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Directions to “CITY OF BARTLETT ” Practice Location

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