Healthcare Provider Details

I. General information

NPI: 1053172767
Provider Name (Legal Business Name): TEAM MOBILE HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2024
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1678 SHELBY OAKS DR N
MEMPHIS TN
38134-7402
US

IV. Provider business mailing address

PO BOX 160206
NASHVILLE TN
37216-0206
US

V. Phone/Fax

Practice location:
  • Phone: 901-878-0911
  • Fax:
Mailing address:
  • Phone: 615-495-9775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: PAUL KENDALL
Title or Position: PRESIDENT
Credential:
Phone: 931-247-6968