Basic Information
| Provider Information | |||||||||
| NPI: | 1053803304 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HCA-EMCARE HOLDING LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 570 | ||||||||
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| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372020570 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1A BURTON HILLS BLVD | ||||||||
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| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372156187 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4694012386 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/02/2018 | ||||||||
| LastUpdateDate: | 06/02/2018 | ||||||||
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| AuthorizedOfficialLastName: | BEHM | ||||||||
| AuthorizedOfficialFirstName: | TENNA | ||||||||
| AuthorizedOfficialMiddleName: | K | ||||||||
| AuthorizedOfficialTitleorPosition: | OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 4694012386 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.