Organization Active NPI

Expedited Medical Services, LLC

  • Land Ambulance
  • Tullahoma, TN
National Provider Identifier
1043742802
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
EXPEDITED MEDICAL SERVICES, LLC
Practice address
102 William Northern Blvd
Tullahoma, TN 37388-4765
Phone
(931) 308-9356
Fax
(931) 691-9933
NPI assigned
Mar 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John Marsee
Title
President
Phone
(931) 308-9356

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary
Non-emergency Medical Transport (VAN) 343900000X 000896750 TN

Addresses

Primary practice location

102 William Northern Blvd
Tullahoma, TN 37388-4765

Mailing address

362 Jess Frazier LN
Manchester, TN 37355-4187
Phone (931) 308-9356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180724001377 TN Part B Supplier - Ambulance Service Supplier 6507113487 Practice locations: Tullahoma, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2147928Expedited Medical Services, LLC102 William Northern Blvd, Tullahoma, TN 37388Certificate of waiverApr 30, 2028

National Provider Directory

National Provider Directory

Locations

102 William Northern Blvd
Tullahoma, TN 37388
Phone (931) 308-9356

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1043742802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 JESS FRAZIER LN",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373554187",
            "telephone_number": "931-308-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WILLIAM NORTHERN BLVD",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373884765",
            "telephone_number": "931-308-9356",
            "fax_number": "931-691-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPEDITED MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "MARSEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-308-9356",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TN",
            "license": "000896750",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.