Active NPI
Sevier County Ambulance Service
- Land Ambulance
- Sevierville, TN
National Provider Identifier
1164412490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- SEVIER COUNTY AMBULANCE SERVICE
- Practice address
- 718 Middle Creek Rd
Sevierville, TN 37862-5019 - Phone
- (865) 453-3248
- Fax
- (865) 453-4232
- NPI assigned
- Oct 27, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Larry Waters
- Title
- County Mayor
- Phone
- (865) 453-3248
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
718 Middle Creek Rd
Sevierville, TN 37862-5019
Mailing address
PO Box 9150
Paducah, KY 42002-9150
Phone (270) 744-8413
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100020918 | Other | TN | PHP TENNCARE ID # |
| 246638 | Other | KY | ANTHEM BC ID # |
| 702002153 | Other | TN | CARITEN ID # |
| 4110001 | Other | TN | BLUE CROSS OF TN ID # |
| 9637 | Other | TN | BLUE CROSS ID # |
| 3524914 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
718 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 453-3248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615507200000",
"number": "1164412490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9150",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420029150",
"telephone_number": "270-744-8413",
"fax_number": "270-744-8642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 MIDDLE CREEK RD",
"city": "SEVIERVILLE",
"state": "TN",
"postal_code": "378625019",
"telephone_number": "865-453-3248",
"fax_number": "865-453-4232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEVIER COUNTY AMBULANCE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-27",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A",
"authorized_official_last_name": "WATERS",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "LARRY",
"authorized_official_title_or_position": "COUNTY MAYOR",
"authorized_official_telephone_number": "865-453-3248"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP TENNCARE ID #",
"identifier": "100020918",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC ID #",
"identifier": "246638",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARITEN ID #",
"identifier": "702002153",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF TN ID #",
"identifier": "4110001",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ID #",
"identifier": "9637",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3524914",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sevierville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.