NPIMap

Organization Active NPI

Ambulance Services of McKenzie, Inc.

  • Land Ambulance
  • McKenzie, TN
National Provider Identifier
1164533733
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS0000010013 Issued in TN
Legal business name
AMBULANCE SERVICES OF MCKENZIE, INC.
Practice address
161 Hospital Drive
McKenzie, TN 38201
Phone
(731) 352-4111
Fax
(731) 352-4131
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Authorized official

Name
Mr. Michael Gregory Morrical
Title
Chief Executive Officer
Phone
(731) 352-4170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X EMS0000010013 TN Primary

Addresses

Primary practice location

161 Hospital Drive
McKenzie, TN 38201

Mailing address

1573 Mallory Lane
Suite 100
Brentwood, TN 37027
Phone (615) 221-1400

Other identifiers 1

IdentifierTypeStateIssuer
3574762MedicaidTN

Other names 1

  • Carroll County EMS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1164533733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 MALLORY LANE",
            "address_2": "SUITE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-221-1400",
            "fax_number": "615-221-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 HOSPITAL DRIVE",
            "city": "MCKENZIE",
            "state": "TN",
            "postal_code": "38201",
            "telephone_number": "731-352-4111",
            "fax_number": "731-352-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULANCE SERVICES OF MCKENZIE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "MORRICAL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "731-352-4170",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": "EMS0000010013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3574762",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carroll County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McKenzie, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.