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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
EMS0000009996 | TN | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | BCBS NON-EMERGENCY | 3129083 | 01 |
TN | BCBS EMERGENCY | 4121233 | 01 |
Other Name | Type Code |
---|---|
Van Buren County EMS | Doing Business As Name - Organization |
Street Address |
112 GENERATIONS DR |
City | SPENCER |
State | TN |
Zip Code | 38585-3027 |
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 Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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 |
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 |
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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.