Provider Demographics
NPI:1164486569
Name:MORGAN COUNTY FINANCE OFFICE
Entity Type:Organization
Organization Name:MORGAN COUNTY FINANCE OFFICE
Other - Org Name:MORGAN COUNTY AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILBURN
Authorized Official - Middle Name:D
Authorized Official - Last Name:LAMANCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-346-6602
Mailing Address - Street 1:PO BOX 279
Mailing Address - Street 2:228 FLAT FORK RD
Mailing Address - City:WARTBURG
Mailing Address - State:TN
Mailing Address - Zip Code:37887
Mailing Address - Country:US
Mailing Address - Phone:423-346-6602
Mailing Address - Fax:270-984-1537
Practice Address - Street 1:228 FLAT FORK RD
Practice Address - Street 2:
Practice Address - City:WARTBURG
Practice Address - State:TN
Practice Address - Zip Code:37887
Practice Address - Country:US
Practice Address - Phone:423-346-6602
Practice Address - Fax:423-346-3553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-13
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNEMS0000006501341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3525069Medicaid
TN3525069Medicaid