Healthcare Provider Details

I. General information

NPI: 1568452431
Provider Name (Legal Business Name): ROBERTSON COUNTY GOVERNMENT FINANCE OFFICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2005
Last Update Date: 07/02/2024
Certification Date: 03/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 HILL ST
SPRINGFIELD TN
37172-3200
US

IV. Provider business mailing address

1305 HILL ST
SPRINGFIELD TN
37172-3200
US

V. Phone/Fax

Practice location:
  • Phone: 615-384-1414
  • Fax: 615-384-1293
Mailing address:
  • Phone: 615-384-1414
  • Fax: 615-384-1293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberEMS0000007401
License Number StateTN

VIII. Authorized Official

Name: MR. BRENT NATHANIEL DYER SR.
Title or Position: CHIEF/DIRECTOR
Credential:
Phone: 615-384-2186