Provider Demographics
NPI:1720176761
Name:WILSON COUNTY FINANCE DEPARTMENT
Entity Type:Organization
Organization Name:WILSON COUNTY FINANCE DEPARTMENT
Other - Org Name:WILSON EMERGENCY MANAGEMENT AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:CROSS
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:615-444-8779
Mailing Address - Street 1:110 OAK ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37087-3332
Mailing Address - Country:US
Mailing Address - Phone:154-444-8779
Mailing Address - Fax:615-566-5595
Practice Address - Street 1:110 OAK ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-3332
Practice Address - Country:US
Practice Address - Phone:615-444-8777
Practice Address - Fax:615-443-4621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNEMS00000095013416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2008587OtherBCBS
TN3534759Medicaid
TN3534759Medicare ID - Type Unspecified