Unicoi County Emergency Medical Services Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

UNICOI COUNTY EMERGENCY MEDICAL SERVICES INC.

Practice address

630 Oneega LN Ste E
Erwin, TN 37650-2199

Phone

(423) 735-3315

NPI assigned

Apr 24, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Travis Lynn Constable, PARAMEDIC

Title

Chief

Phone

(423) 735-3315

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1093335515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 ONEEGA LN STE E",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376502199",
            "telephone_number": "423-735-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 ONEEGA LN STE E",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376502199",
            "telephone_number": "423-735-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNICOI COUNTY EMERGENCY MEDICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-24",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "CONSTABLE",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "423-735-3315",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "146M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste Carol Taylor, LPC
• TLC Mobile Clinic, LLC
• Joel J Troy, RPH
• Unaka Internal Medicine, LLC
• Unicoi Ambulance Service, Inc.
• Unicoi County Family Practice
• Unicoi County Medical Services, Inc. (Nolichucky Medical Associates)
• Unicoi County Memorial Hospital
• Unicoi County Memorial Hospital Inc (Unicoi County Nursing Home)
• Unicoi County Memorial Hospital Inc (Unicoi Cty Memorial Hospital Cty Nursing Home Cty Home Health Agency)

• Land Ambulance in Erwin, TN
• Providers in Erwin, TN by specialty
• Land Ambulance in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.