=====================================================
General NPI Number Information
=====================================================
NPI Number | 1720176761
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WILSON COUNTY FINANCE DEPARTMENT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/11/2006
-----------------------------------------------------
Last Update Date | 11/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 110 OAK ST
-----------------------------------------------------
City | LEBANON
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37087-3332
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-444-8777
-----------------------------------------------------
Fax | 615-443-4621
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 110 OAK ST
-----------------------------------------------------
City | LEBANON
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37087-3332
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 154-444-8779
-----------------------------------------------------
Fax | 615-566-5595
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COMPLIANCE OFFICER
-----------------------------------------------------
Name | JOHN HIETT
-----------------------------------------------------
Credential | PARAMEDIC
-----------------------------------------------------
Telephone | 615-444-8777
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number | EMS0000009501
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------