Organization Active NPI

Perry County Council on Aging

  • Non-emergency Medical Transport (VAN)
  • Linden, TN
National Provider Identifier
1164568499
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PERRY COUNTY COUNCIL ON AGING
Practice address
112 South Mill St.
Linden, TN 37096
Phone
(931) 589-5111
Fax
(931) 589-3375
NPI assigned
Jan 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Marianne Hedrick Watson
Title
Director
Phone
(931) 589-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

112 South Mill St.
Linden, TN 37096

Mailing address

P. O. Box 367
112 South Mill St.
Linden, TN 37096-0367
Phone (931) 589-5111

Other identifiers 1

IdentifierTypeStateIssuer
T000154OtherTNPROVIDER NO. TN CARE

National Provider Directory

National Provider Directory

Locations

112 S Mill St
Linden, TN 37096
Phone (931) 589-5111

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164568499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 367",
            "address_2": "112 SOUTH MILL ST.",
            "city": "LINDEN",
            "state": "TN",
            "postal_code": "370960367",
            "telephone_number": "931-589-5111",
            "fax_number": "931-589-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SOUTH MILL ST.",
            "city": "LINDEN",
            "state": "TN",
            "postal_code": "37096",
            "telephone_number": "931-589-5111",
            "fax_number": "931-589-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY COUNTY COUNCIL ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "HEDRICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "931-589-5111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NO. TN CARE",
            "identifier": "T000154",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.