Organization Active NPI

Church Hill Emergency Medical Services, Inc

  • Ambulance
  • Church Hill, TN
National Provider Identifier
1144239989
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
EMS0000003701 Issued in TN
Legal business name
CHURCH HILL EMERGENCY MEDICAL SERVICES, INC
Practice address
212 W Main Blvd
Church Hill, TN 37642-3901
Phone
(423) 357-7971
Fax
(423) 357-1376
NPI assigned
Aug 7, 2006
Last updated
Jan 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Authorized official

Name
Mr. Fred Arnold
Title
President
Phone
(423) 357-6010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X EMS0000003701 TN Primary

Addresses

Primary practice location

212 W Main Blvd
Church Hill, TN 37642-3901

Mailing address

PO Box 206
Church Hill, TN 37642-0206
Phone (423) 357-7971

Other identifiers 3

IdentifierTypeStateIssuer
590005976OtherRAILROAD MEDICARE
4121187OtherTNBC OF TN PIN
3558894MedicaidTN

National Provider Directory

National Provider Directory

Locations

728 W Main Blvd
Church Hill, TN 37642
Phone (423) 357-6711

1700 Pinebrook Dr
Ste 1
Kingsport, TN 37660
Phone (423) 357-6010

120 Old Stage Rd
Surgoinsville, TN 37873
Phone (423) 272-4713

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1144239989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "city": "CHURCH HILL",
            "state": "TN",
            "postal_code": "376420206",
            "telephone_number": "423-357-7971",
            "fax_number": "423-357-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W MAIN BLVD",
            "city": "CHURCH HILL",
            "state": "TN",
            "postal_code": "376423901",
            "telephone_number": "423-357-7971",
            "fax_number": "423-357-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCH HILL EMERGENCY MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-357-6010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TN",
            "license": "EMS0000003701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590005976",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF TN PIN",
            "identifier": "4121187",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3558894",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Church Hill, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.