Organization Active NPI

Rhea Ambulance Services LLC

  • Land Ambulance
  • Dayton, TN
National Provider Identifier
1245381532
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS0000007201 Issued in TN
Legal business name
RHEA AMBULANCE SERVICES LLC
Practice address
9460 Rhea County Hwy
Dayton, TN 37321-7922
Phone
(423) 775-2143
Fax
(423) 775-4725
NPI assigned
Jan 15, 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
James Daryle Cochran
Title
Director
Phone
(423) 775-2143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X EMS0000007201 TN Primary

Addresses

Primary practice location

9460 Rhea County Hwy
Dayton, TN 37321-7922

Mailing address

9460 Rhea County Hwy
Dayton, TN 37321-7922
Phone (423) 775-2143

Other identifiers 4

IdentifierTypeStateIssuer
4116821OtherTNBLUE CROSS BLUE SHIELD
4116821OtherTNTENNCARE SELECT
3574836MedicaidTN
4116821OtherTNTENNCARE BLUECARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051027001132 TN Part B Supplier - Ambulance Service Supplier 4688691777 Practice locations: Dayton, TN; Graysville, TN; Spring City, TN

National Provider Directory

National Provider Directory

Locations

9460 Rhea County Hwy
Dayton, TN 37321
Phone (423) 775-2143

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245381532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9460 RHEA COUNTY HWY",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373217922",
            "telephone_number": "423-775-2143",
            "fax_number": "423-775-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 RHEA COUNTY HWY",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373217922",
            "telephone_number": "423-775-2143",
            "fax_number": "423-775-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEA AMBULANCE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DARYLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "423-775-2143"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": "EMS0000007201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4116821",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE SELECT",
            "identifier": "4116821",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3574836",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE BLUECARE",
            "identifier": "4116821",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, 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.
  • 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.