VAN BUREN COUNTY COURTHOUSE SQ


Address: 112 Generations Dr, Spencer, TN 38585-3027
Phone: 9319468181

VAN BUREN COUNTY COURTHOUSE SQ (NPI# 1740261981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740261981
Entity Type Organization
Organization Name VAN BUREN COUNTY COURTHOUSE SQ
Other Organization Name VAN BUREN COUNTY EMS
Practice Address 112 Generations Dr
Spencer
TN 38585-3027
Practice Telephone 9319468181
Practice Fax Number 9319468182
Mailing Telephone 9319468181
Mailing Fax Number 9319468182
Enumeration Date 2005-11-06
Last Update Date 2012-01-18
Authorized Official Name MRS. TIWANNA BRICKER (DIRECTOR)
Authorized Official Telephone 9319468181
Authorized Official Credential EMT-P
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3416L0300X Ambulance
Specialization: Land Transport
EMS0000009996 TN Transportation Services

Other Provider Identifier

State Issuer Identifier Type Code
TN BCBS NON-EMERGENCY 3129083 01
TN BCBS EMERGENCY 4121233 01

Other Provider/Organization Names

Other Name Type Code
Van Buren County EMS Doing Business As Name - Organization

Office Location

Street Address 112 GENERATIONS DR
City SPENCER
State TN
Zip Code 38585-3027

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457552812 Arrow Transport Transportation Broker 620 Old Mcminnville Street, Spencer, TN 38585 2007-05-31
1164518254 Lori Sumerford Shelton Physician Assistant 476 Spring St, Spencer, TN 38585-3026 2006-10-05
1962500231 Generations Health Association, Inc. Skilled Nursing Facility 87 Generations Dr, Spencer, TN 38585-3027 2006-09-20
1053918433 Vijaykumar Joshi Physical Therapist 87 Generations Dr, Spencer, TN 38585-3027 2020-10-08
1184189078 Alberta Newman Physical Therapy Assistant 87 Generations Dr, Spencer, TN 38585-3027 2019-02-05
1982705836 Robert David Sapp Internal Medicine 87 Generations Dr, Spencer, TN 38585-3027 2006-09-25
1750340980 Heather Christine Gibson Nurse Practitioner 907 Old Mcminnville St, Spencer, TN 38585-3200 2006-03-17
1629436092 Teena Renee May Licensed Practical Nurse 907 Old Mcminnville St, Spencer, TN 38585-3200 2016-02-01
1871973479 Audra Nichole Dixon Licensed Practical Nurse 907 Old Mcminnville St, Spencer, TN 38585-3200 2015-06-09
1205264397 Mindy Copeland Registered Nurse 907 Old Mcminnville St, Spencer, TN 38585-3200 2013-10-29
Find all providers in zip 38585

Taxonomy Information

Taxonomy Code 3416L0300X
Grouping Transportation Services
Classification Ambulance
Specialization Land Transport

Taxonomy Definition

Definition to come...
Notes: [1/1/2005: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760624621 Cataract Volunteer Fire Department, Inc Ambulance 9582 Hi Ridge Trl, Spencer, IN 47460-5462 2009-03-24
1649348459 Owen County Emergency Medical Services Ambulance 333 West State Highway 46, Spencer, IN 47460-0372 2006-12-01
1093860256 Roane County Emergency Squad, Inc. Ambulance 200 East Main Street, Spencer, WV 25276 2007-01-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023634557 Englewood Rural Fire Department Ambulance 107 Carroll St, Englewood, TN 37329-3295 2020-06-20
1528693439 Advantage Care Ems Ambulance 1309 Briarville Rd Ste 202, Madison, TN 37115-5132 2020-03-11
1669028551 City of Martin Tennessee Ambulance 106 Neal St, Martin, TN 38237-2418 2019-08-15
1861900961 First Call Ambulance LLC Ambulance 627 Old Hickory Blvd, Old Hickory, TN 37138-3162 2018-01-11
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
Find all providers with the same taxonomy

Competitor

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City SPENCER
Zip Code 38585

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Dataset Information

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.

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