MEDICARE: FIRST CALL AMBULANCE SERVICE, LLC

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	EMS0000010026	TN
2	3416L0300X	Land Ambulance	0000010026	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	:	1811988777
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST CALL AMBULANCE SERVICE, LLC

Provider Business Mailing Address
First Line	:	1930 AIRLANE DRIVE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37210-3810
Country	:	US
Telephone Number	:	615-620-4292
Fax Number	:	615-277-0649

Provider Business Practice Location Address
First Line	:	1930 AIRLANE DRIVE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37210-3810
Country	:	US
Telephone Number	:	615-620-4292
Fax Number	:	615-277-0649

Authorized Official
Title or Position	:	SVP OF FINANCE
Name	:	MR. DWIGHT ANTHONY BOND
Credential	:
Telephone Number	:	615-620-4292

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	03/04/2015

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Directions to “FIRST CALL AMBULANCE SERVICE, LLC ” Practice Location

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