Organization Active NPI

County of Bedford Office of County Executive

  • Land Ambulance
  • Shelbyville, TN
National Provider Identifier
1215901640
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
COUNTY OF BEDFORD OFFICE OF COUNTY EXECUTIVE
Practice address
119 Frank Martin Road
Shelbyville, TN 37160-7193
Phone
(931) 684-4403
Fax
(931) 684-3654
NPI assigned
Feb 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Ms. Mary Andrews
Title
Office Manager
Phone
(931) 684-4403

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X EMS0000000201 TN
Ambulance 341600000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

119 Frank Martin Road
Shelbyville, TN 37160-7193

Mailing address

119 Frank Martin Rd
Shelbyville, TN 37160-7193
Phone (931) 684-4403

Other identifiers 1

IdentifierTypeStateIssuer
3545153MedicaidTN

Other names 1

  • Bedford County Emergency Medical Service Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090805000788 TN Part B Supplier - Ambulance Service Supplier 3577616770 Practice locations: Shelbyville, TN

National Provider Directory

National Provider Directory

Locations

119 Frank Martin Rd
Shelbyville, TN 37160
Phone (931) 684-4403

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1215901640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 FRANK MARTIN RD",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371607193",
            "telephone_number": "931-684-4403",
            "fax_number": "931-684-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 FRANK MARTIN ROAD",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371607193",
            "telephone_number": "931-684-4403",
            "fax_number": "931-684-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF BEDFORD OFFICE OF COUNTY EXECUTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "931-684-4403",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TN",
            "license": "EMS0000000201",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3545153",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bedford County Emergency Medical Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bedford County Emergency Medical Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelbyville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.