Active NPI
County of Bedford Office of County Executive
- Land Ambulance
- Shelbyville, TN
National Provider Identifier
1215901640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3545153 | Medicaid | TN |
Other names 1
- Bedford County Emergency Medical Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090805000788 | TN | Part B Supplier - Ambulance Service Supplier | 3577616770 | Practice locations: Shelbyville, TN |
National Provider Directory
National Provider DirectoryLocations
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.