Healthcare Provider Details

I. General information

NPI: 1053351593
Provider Name (Legal Business Name): EMERGENCY COVERAGE SERVICES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 09/10/2020
Certification Date: 09/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1607 S LOCUST AVE
LAWRENCEBURG TN
38464-4011
US

IV. Provider business mailing address

P O BOX 634909
CINCINNATI OH
45263-4909
US

V. Phone/Fax

Practice location:
  • Phone: 931-762-6571
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. RANDAL L DABBS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 865-604-3115