Provider Demographics
NPI:1780817361
Name:FIRST CALL AMBULANCE SERVICE OF MIDDLE TENNESSEE, LLC
Entity Type:Organization
Organization Name:FIRST CALL AMBULANCE SERVICE OF MIDDLE TENNESSEE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIELBECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-277-0900
Mailing Address - Street 1:1877 AIR LANE DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37210-3811
Mailing Address - Country:US
Mailing Address - Phone:615-620-4292
Mailing Address - Fax:615-874-0879
Practice Address - Street 1:186 E OLD TRENTON RD STE A
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-5833
Practice Address - Country:US
Practice Address - Phone:931-647-3161
Practice Address - Fax:931-647-3906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-28
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNEMS00000101123416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport