Provider Demographics
NPI:1669028551
Name:CITY OF MARTIN TENNESSEE
Entity Type:Organization
Organization Name:CITY OF MARTIN TENNESSEE
Other - Org Name:MARTIN FIRE & EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SUMMERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:731-587-4919
Mailing Address - Street 1:PO BOX 290
Mailing Address - Street 2:
Mailing Address - City:MARTIN
Mailing Address - State:TN
Mailing Address - Zip Code:38237-0290
Mailing Address - Country:US
Mailing Address - Phone:731-587-4919
Mailing Address - Fax:731-587-3152
Practice Address - Street 1:106 NEAL ST
Practice Address - Street 2:
Practice Address - City:MARTIN
Practice Address - State:TN
Practice Address - Zip Code:38237-2418
Practice Address - Country:US
Practice Address - Phone:731-587-4919
Practice Address - Fax:731-587-3152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-15
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport