GIBSON COUNTY EMERGENCY MEDICAL SERVICE (NPI# 1083624902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083624902 |
Entity Type | Organization |
Organization Name | GIBSON COUNTY EMERGENCY MEDICAL SERVICE |
Practice Address |
1252 S Manufacturers Row Trenton TN 38382-3611 |
Mailing Address |
Po Box 410 1252 Manufacturers Row Trenton TN 38382-0410 |
Practice Telephone | 7318557614 |
Practice Fax Number | 7318557691 |
Mailing Telephone | 7318557614 |
Mailing Fax Number | 7318557691 |
Enumeration Date | 2006-08-09 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. RICHARD DOUGLAS LOCKARD (OPERATIONS MANAGER) |
Authorized Official Telephone | 7318557614 |
Authorized Official Credential | EMT-PARAMEDIC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
EMS0000002702 | TN | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | BLUE CROSS AND BLUE SHIEL | 4103636 | 01 |
TN | 3519909 | 05 |
Street Address |
1252 S MANUFACTURERS ROW |
City | TRENTON |
State | TN |
Zip Code | 38382-3611 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558998583 | Jh Pollard | Occupational Therapy Assistant | 2036 Us Hwy Byp S, Trenton, TN 38382 | 2020-03-27 |
1467829515 | Kelly Pulley | Nurse Practitioner | 2017 South College St, Trenton, TN 38382 | 2015-08-25 |
1184091332 | John Robert Barnett | Pharmacist | 2045 S. Highway 45, Trenton, TN 38382 | 2015-08-24 |
1053739193 | Lisa Schweich | Nurse Practitioner | 1250 Manufacturer's Row, Trenton, TN 38382 | 2014-04-05 |
1851641609 | Lauren Ashley Sanders | Licensed Practical Nurse | 244 Loop Rd, Trenton, TN 38382 | 2012-09-19 |
1598090920 | Rha Trenton Mr Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1130 High St, Trenton, TN 38382 | 2009-10-02 |
1053646489 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 307 E Eaton St, Trenton, TN 38382 | 2009-10-02 |
1134454564 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2202 Hwy 45 By-pass, Trenton, TN 38382 | 2009-10-02 |
1043545478 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2206 Hwy 45 By-pass, Trenton, TN 38382 | 2009-10-02 |
1316272743 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2055 Hwy 45 By-pass A, Trenton, TN 38382 | 2009-10-02 |
Find all providers in zip 38382 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
1154849115 | Lifeline Ambulance Service, Inc. | Ambulance | 1110 Highway 33 S, New Tazewell, TN 37825-7027 | 2017-08-30 |
1417487786 | Firstcare Ambulance Service, LLC | Ambulance | 5155 Wilfong Rd, Memphis, TN 38134-5611 | 2017-06-19 |
1083158570 | Shelby County Government | Ambulance | 1075 Mullins Station Rd, Bldg. C, 2nd Floor, Memphis, TN 38134-7730 | 2016-12-19 |
1245789452 | Americare Emergency Medical Service, LLC | Ambulance | 1321 Murfreesboro Pike Ste 601, Nashville, TN 37217-2677 | 2016-09-28 |
1851844633 | Med Transport Memphis, LLC | Ambulance | 1005 Tillman St Ste 213, Memphis, TN 38112-2038 | 2016-07-28 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.