Buffalo River Transport

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

320928 Issued in TN

Legal business name

BUFFALO RIVER TRANSPORT

Practice address

110 Holder Station Rd
Linden, TN 37096-6054

Phone

(931) 589-2583

Fax

(931) 589-3004

NPI assigned

Feb 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dena J Holder

Title

Owner

Phone

(931) 589-2583

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073655684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HOLDER STATION RD",
            "city": "LINDEN",
            "state": "TN",
            "postal_code": "370966054",
            "telephone_number": "931-589-2583",
            "fax_number": "931-589-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOLDER STATION RD",
            "city": "LINDEN",
            "state": "TN",
            "postal_code": "370966054",
            "telephone_number": "931-589-2583",
            "fax_number": "931-589-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO RIVER TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLDER",
        "authorized_official_first_name": "DENA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-589-2583",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TN",
            "license": "320928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T000151",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BB TENNSELECT",
            "identifier": "181614",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alle Brown, FNP-C
• Shirley Bryant, APRN
• Buffalo River Healthcare LLC (Perry County Nursing Home)
• Buffalo River Medical
• Buffalo River Rehabilitation (Buffalo River Rehab)
• William Brent Bush, MD
• County of Perry
• Bethaney Dawn Dabbs, LPN
• Andrea Marie Dewinter, FNP-BC
• Nathan Bradley Dillon

• Non-emergency Medical Transport (VAN) in Linden, TN
• Providers in Linden, TN by specialty
• Non-emergency Medical Transport (VAN) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.