Healthcare Provider Details

I. General information

NPI: 1144239989
Provider Name (Legal Business Name): CHURCH HILL EMERGENCY MEDICAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 01/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 W MAIN BLVD
CHURCH HILL TN
37642-3901
US

IV. Provider business mailing address

PO BOX 206
CHURCH HILL TN
37642-0206
US

V. Phone/Fax

Practice location:
  • Phone: 423-357-7971
  • Fax: 423-357-1376
Mailing address:
  • Phone: 423-357-7971
  • Fax: 423-357-1376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License NumberEMS0000003701
License Number StateTN

VIII. Authorized Official

Name: MR. FRED ARNOLD
Title or Position: PRESIDENT
Credential:
Phone: 423-357-6010