Active NPI
Unicoi Ambulance Service, Inc.
- Land Ambulance
- Erwin, TN
National Provider Identifier
1245539196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- CURRENTLY SUBMITTING
- Legal business name
- UNICOI AMBULANCE SERVICE, INC.
- Practice address
- 1570 Jackson Love Hwy
Erwin, TN 37650-9228 - Phone
- (423) 764-4942
- Fax
- (423) 764-2064
- NPI assigned
- Mar 17, 2011
- 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
- Mr. G. Wallace Elliott
- Title
- President/Ceo
- Phone
- (423) 764-4942
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | CURRENTLY SUBMITTING | TN | Primary |
Addresses
Primary practice location
1570 Jackson Love Hwy
Erwin, TN 37650-9228
Mailing address
1718 Shelby St
Bristol, TN 37620-1938
Phone (423) 764-4942
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300320000000",
"number": "1245539196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1718 SHELBY ST",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376201938",
"telephone_number": "423-764-4942",
"fax_number": "423-764-2064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1570 JACKSON LOVE HWY",
"city": "ERWIN",
"state": "TN",
"postal_code": "376509228",
"telephone_number": "423-764-4942",
"fax_number": "423-764-2064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNICOI AMBULANCE SERVICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-17",
"last_updated": "2011-03-17",
"status": "A",
"authorized_official_last_name": "ELLIOTT",
"authorized_official_first_name": "G.",
"authorized_official_middle_name": "WALLACE",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "423-764-4942",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TN",
"license": "CURRENTLY SUBMITTING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erwin, TN
- Suzonne S Swihart, RN NP
- Celeste Carol Taylor, LPC
- TLC Mobile Clinic, LLC
- Joel J Troy, RPH
- Unaka Internal Medicine, LLC
- Unicoi County Emergency Medical Services Inc.
- Unicoi County Family Practice
- Unicoi County Medical Services, Inc. (Nolichucky Medical Associates)
- Unicoi County Memorial Hospital
- Unicoi County Memorial Hospital Inc (Unicoi County Nursing Home)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.