SOUTHEAST AMBULANCE, LLC (NPI# 1861551731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861551731 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST AMBULANCE, LLC |
| Practice Address |
2511 Riverside Dr Suite C-3 Chattanooga TN 37406-3700 |
| Mailing Address |
Po Box 5583 Chattanooga TN 37406-0583 |
| Practice Telephone | 4236249990 |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JIMMY E HENDERLIGHT JR. (MANAGING MEMBER) |
| Authorized Official Telephone | 4236249990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
EMS0000010029 | TN | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3474827 | 05 |
| Street Address |
2511 RIVERSIDE DR SUITE C-3 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37406-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912915737 | Southeast Transportation, LLC | Ambulance | 2511 Riverside Dr, Suite C 8, Chattanooga, TN 37406-3700 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497263164 | Care Med Ambulance LLC | Ambulance | 2511 Riverside Dr Ste B5, Chattanooga, TN 37406 | 2018-01-16 |
| 1124499959 | Maria Elena Ramantanin | Special Hospital | 2132 Amnicola Hwy, Chattanooga, TN 37406 | 2015-10-20 |
| 1790064087 | Eunice Storey Group Home | Specialist | 2016 Milne Street, Chattanooga, TN 37406 | 2011-08-04 |
| 1740512177 | Erin Michelle Harper | Nurse Practitioner | 1200 Dodson Avenue, Chattanooga, TN 37406 | 2010-02-10 |
| 1306047170 | Mary Nicole Crittenden | Physical Therapist | 1501 Riverside Dr. Suite 270, Chattanooga, TN 37406 | 2007-05-30 |
| 1083836761 | Mercury Cab Co. | Taxi | 901 Dodson Ave, Chattanooga, TN 37406 | 2007-05-03 |
| 1558491902 | Breezie Finley | Nurse Practitioner | 3167 Elmendorf Circle, Chattanooga, TN 37406 | 2007-03-06 |
| 1356400824 | Rebecca Lee Ingle Holden | Chiropractor | 4289 Bonny Oaks Dr Ste 107, Chattanooga, TN 37406 | 2006-12-08 |
| 1033195110 | Respiratory Home Care of Bristol, LLC | Durable Medical Equipment & Medical Supplies | 1501 Riverside Dr Ste 340, Chattanooga, TN 37406 | 2005-12-20 |
| 1982254991 | Sage Lauren Hutchison | Behavioral Analyst | 2826 Amnicola Hwy, Chattanooga, TN 37406 | 2019-09-12 |
| Find all providers in zip 37406 | ||||
| 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 |
|---|---|---|---|---|
| 1912915737 | Southeast Transportation, LLC | Ambulance | 2511 Riverside Dr, Suite C 8, Chattanooga, TN 37406-3700 | 2006-08-04 |
| 1194797761 | County of Hamilton | Ambulance | 455 N Highland Park Ave, Chattanooga, TN 37404-2016 | 2006-02-07 |
| 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 | ||||
| City | CHATTANOOGA |
| Zip Code | 37406 |
Please comment or provide details below to improve the information on SOUTHEAST AMBULANCE, LLC.
| 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.