County of Hamilton

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS0000003306 Issued in TN

Legal business name

COUNTY OF HAMILTON

Doing business as

Hamilton County EMS

Practice address

455 N Highland Park Ave
Chattanooga, TN 37404-2016

Phone

(423) 209-6363

Fax

(423) 209-6933

NPI assigned

Feb 7, 2006

Organization subpart

No

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

Authorized official

Name

Dawn Manka

Title

Finance Director

Phone

(423) 209-6900

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Hamilton County EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• County of Hamilton

  dba Hamilton County Health Department Homeless Health Care Center

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1215350194

  0446272207

  Same PAC ID
• County of Hamilton

  dba Hamilton County Health Department

  • Public Health or Welfare Agency
  • Chattanooga, TN
  • NPI 1386665594

  0446272207

  Same PAC ID

Tax ID family

Sequoyah Medical Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• County of Hamilton

  dba Hamilton County Health Department at Ooltewah

  • Public Health or Welfare Agency
  • Ooltewah, TN
  • NPI 1184870883
  NPD tax ID
• County of Hamilton

  dba Hamilton County Health Department at Birchwood

  • Public Health or Welfare Agency
  • Birchwood, TN
  • NPI 1215335740
  NPD tax ID
• County of Hamilton

  dba Hamilton County Health Department Homeless Health Care Center

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1215350194
  NPD tax ID
• County of Hamilton

  dba Hamilton County Health Department

  • Public Health or Welfare Agency
  • Chattanooga, TN
  • NPI 1386665594
  NPD tax ID

Locations

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1194797761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 N HIGHLAND PARK AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042016",
            "telephone_number": "423-209-6363",
            "fax_number": "423-209-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N HIGHLAND PARK AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042016",
            "telephone_number": "423-209-6363",
            "fax_number": "423-209-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF HAMILTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "MANKA",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "423-209-6900"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": "EMS0000003306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3554090",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590080204",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TENNESSEE",
            "identifier": "2005085",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamilton County EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hamilton County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beverly Coulter
• Dean John Coulter, PT
• Abigail Taylor Coulthard
• Council for Alcohol and Drug Abuse Services, Inc.
• Susan Severs Council, M.D
• County of Hamilton (Hamilton County Health Department Homeless Health Care Center)
• County of Hamilton (Hamilton County Health Department)
• Covenant Allergy and Asthma Care PLLC
• Karin Marie Covi, MD
• Briana Ky-Mari Covington, CRNA

• Land Ambulance in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Land Ambulance in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.

Verify at the official NPI Registry.