Healthcare Provider Details

I. General information

NPI: 1932199460
Provider Name (Legal Business Name): COUNTY OF LAWRENCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2005
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 W GAINES ST
LAWRENCEBURG TN
38464-3111
US

IV. Provider business mailing address

PO BOX 547
WHEELING IL
60090-0547
US

V. Phone/Fax

Practice location:
  • Phone: 931-762-3566
  • Fax: 931-766-1582
Mailing address:
  • Phone: 734-224-4474
  • Fax: 336-791-0196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberEMS0000005001
License Number StateTN

VIII. Authorized Official

Name: VIOLA MICHELLE AYERS
Title or Position: DIRECTOR
Credential:
Phone: 931-762-3566