County of Gibson
Organization Active NPI Land Ambulance · Trenton, TN
NPI 1083624902 · NPPES record last updated Aug 6, 2025
Key facts
- NPI
- 1083624902
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- EMS0000002702 (TN)
- Legal business name
- COUNTY OF GIBSON
- Practice address
- 1246 S Manufacturers Row
Trenton, TN 38382-3637 - Phone
- (731) 855-7614
- Fax
- (731) 855-7691
- NPI assigned
- Aug 9, 2006
- Organization subpart
- No
Authorized official
- Name
- John Fowlkes
- Title
- Director
- Phone
- (731) 855-7614
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150803000542 | TN | Part B Supplier - Ambulance Service Supplier | 2860706900 | Practice locations: Bradford, TN; Humboldt, TN; Milan, TN; Trenton, TN |
National Provider Directory
Locations
207 E Main St
Bradford, TN 38316
Phone (731) 742-3757
9 Industrial Dr
Dyer, TN 38330
Phone (731) 692-4051
2030 Avondale St
Humboldt, TN 38343
Phone (731) 784-3739
7029 Telecom Dr
Milan, TN 38358
Phone (731) 686-3996
1246 S Manufacturers Row
Trenton, TN 38382
Phone (731) 855-7614
1252 S Manufacturers Row
Trenton, TN 38382
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | EMS0000002702 | TN | Yes |
Addresses
Primary practice location
1246 S Manufacturers Row
Trenton, TN 38382-3637
Mailing address
PO Box 410
Trenton, TN 38382-0410
Phone (731) 855-7614
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4103636 | Other | TN | BLUE CROSS AND BLUE SHIEL |
| 3519909 | Medicaid | TN |
Other names
- Gibson County Emergency Medical Services
Other providers in Trenton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.