Active NPI
Scott County Ambulance Service
- Land Ambulance
- Oneida, TN
National Provider Identifier
1194714253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- EMS0000007601
- Legal business name
- SCOTT COUNTY AMBULANCE SERVICE
- Practice address
- 501 Paint Rock Rd
Oneida, TN 37841-5915 - Phone
- (423) 569-6000
- Fax
- (423) 569-3618
- NPI assigned
- Oct 20, 2005
- Last updated
- Nov 19, 2024
- 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
- Jamie Byrd
- Title
- EMS Director
- Phone
- (423) 569-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | EMS0000007601 | TN | Primary |
Addresses
Primary practice location
501 Paint Rock Rd
Oneida, TN 37841-5915
Mailing address
501 Paint Rock Rd
Oneida, TN 37841-5915
Phone (423) 569-6000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0104093 | Other | TN | BLUE CROSS |
| 892010 | Other | TN | BLACK LUNG |
| 1403216 | Other | TN | UMWA |
| 3558885 | Medicaid | TN | |
| 55620249 | Other | KY | KY MEDICAID EMERGENCY |
| 56005101 | Other | KY | KY MEDICAID NON EMERGENCY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110705000051 | TN | Part B Supplier - Ambulance Service Supplier | 6002094562 | Practice locations: Oneida, TN |
National Provider Directory
National Provider DirectoryLocations
18801 Alberta St
Oneida, TN 37841
Phone (423) 569-6000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731974400000",
"number": "1194714253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 PAINT ROCK RD",
"city": "ONEIDA",
"state": "TN",
"postal_code": "378415915",
"telephone_number": "423-569-6000",
"fax_number": "423-569-3618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 PAINT ROCK RD",
"city": "ONEIDA",
"state": "TN",
"postal_code": "378415915",
"telephone_number": "423-569-6000",
"fax_number": "423-569-3618"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT COUNTY AMBULANCE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-20",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A",
"authorized_official_last_name": "BYRD",
"authorized_official_first_name": "JAMIE",
"authorized_official_title_or_position": "EMS DIRECTOR",
"authorized_official_telephone_number": "423-569-6000"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TN",
"license": "EMS0000007601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0104093",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "892010",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1403216",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3558885",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY MEDICAID EMERGENCY",
"identifier": "55620249",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY MEDICAID NON EMERGENCY",
"identifier": "56005101",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oneida, TN
- Jan Greg Robbins, MD
- Aaron Roberts
- Sheena Rogers, B.S.
- Rugby Emergency Physicians LLC
- John Franklin Scates Jr., FNP
- Scott County Community Hospital, Inc. (Big South Fork Medical Center)
- Scott County Community Hospital, Inc. (Big South Fork Medical Center)
- Scott County Community Hospital, Inc. (Big South Fork Medical Center)
- Scott County Hma LLC (Scott County Hospital)
- Scott County Hma LLC (Scott County Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.