Healthcare Provider Details

I. General information

NPI: 1629107263
Provider Name (Legal Business Name): METROPOLITAN LYNCHBURG-MOORE COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1333 MAIN ST
LYNCHBURG TN
37352-8321
US

IV. Provider business mailing address

PO BOX 429
LEWISVILLE NC
27023-0429
US

V. Phone/Fax

Practice location:
  • Phone: 931-759-7272
  • Fax: 931-759-5568
Mailing address:
  • Phone: 800-814-5339
  • Fax: 336-518-6342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License NumberEMS0000006401
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: JASON DEAL
Title or Position: PUBLIC SAFETY DIRECTOR
Credential:
Phone: 931-464-1009