Provider Demographics
NPI:1427043702
Name:MORRISTOWN HAMBLEN EMERGENCY MEDICAL SERVICES
Entity Type:Organization
Organization Name:MORRISTOWN HAMBLEN EMERGENCY MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:W
Authorized Official - Last Name:HOUSERIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC DIRECTOR
Authorized Official - Phone:423-587-3280
Mailing Address - Street 1:425 N JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-3912
Mailing Address - Country:US
Mailing Address - Phone:423-587-3280
Mailing Address - Fax:423-585-2729
Practice Address - Street 1:425 N JACKSON ST
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-3912
Practice Address - Country:US
Practice Address - Phone:423-587-3280
Practice Address - Fax:423-585-2729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-13
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNEMS00000032013416L0300X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN100021850OtherPHP TENN CARE
TN40970OtherBLUECROSS BLUE SHIELD
TN1000OtherACORDIA
TN230909800OtherUS DEPT. OF LABOR
TN3547490Medicaid
FL9128387 00Medicaid
TN087480100OtherFEDERAL BLACK LUNG
TN590014954OtherRAIL ROAD MEDICARE