Provider Demographics
NPI:1578576740
Name:DICKSON COUNTY OFFICE OF COUNTY MAYOR
Entity Type:Organization
Organization Name:DICKSON COUNTY OFFICE OF COUNTY MAYOR
Other - Org Name:DICKSON COUNTY AMBULANCE SERVICE
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DONNY
Authorized Official - Middle Name:J
Authorized Official - Last Name:BEAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-446-1732
Mailing Address - Street 1:284 COWAN RD
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055
Mailing Address - Country:US
Mailing Address - Phone:615-446-1732
Mailing Address - Fax:615-446-8359
Practice Address - Street 1:284 COWAN RD
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055
Practice Address - Country:US
Practice Address - Phone:615-446-1732
Practice Address - Fax:615-446-8359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport