Healthcare Provider Details

I. General information

NPI: 1265019632
Provider Name (Legal Business Name): SABER MEDICAL TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2021
Last Update Date: 05/05/2021
Certification Date: 05/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1872 NEWPORT HWY
SEVIERVILLE TN
37876-1936
US

IV. Provider business mailing address

470 COLLIER DR
SEVIERVILLE TN
37862-6931
US

V. Phone/Fax

Practice location:
  • Phone: 865-286-5421
  • Fax: 865-286-9937
Mailing address:
  • Phone: 865-286-5421
  • Fax: 865-286-9937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: SARA FINE
Title or Position: MANAGER
Credential:
Phone: 865-286-5421