Provider Demographics
NPI:1710981238
Name:STEWART COUNTY EMS
Entity Type:Organization
Organization Name:STEWART COUNTY EMS
Other - Org Name:STEWART COUNTY GOVERMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:ACCOUNTS BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-232-1190
Mailing Address - Street 1:PO BOX 487
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:TN
Mailing Address - Zip Code:37058-0487
Mailing Address - Country:US
Mailing Address - Phone:931-232-3093
Mailing Address - Fax:931-232-4859
Practice Address - Street 1:719 SPRING ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:TN
Practice Address - Zip Code:37058-3208
Practice Address - Country:US
Practice Address - Phone:931-232-3093
Practice Address - Fax:931-232-4859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-13
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNEMS00000008101341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4099800OtherBLUECROSSBLUESHIELD-EMER
TN4099800Medicaid
TN3149125OtherBLUECROSSBLUESHIELD-NONE
TN3574312Medicaid
TN3574312Medicaid
TN3149125OtherBLUECROSSBLUESHIELD-NONE