Organization Active NPI

Pride Ambulance Company

  • Land Ambulance
  • Nashville, TN
National Provider Identifier
1265400451
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS0000010017 Issued in TN
Legal business name
PRIDE AMBULANCE COMPANY
Practice address
208 Crutchfield Ave
Nashville, TN 37210-4710
Phone
(615) 889-4445
Fax
(615) 884-6980
NPI assigned
Mar 14, 2006
Organization subpart
Yes
Parent organization
PRIDE AMBULANCE COMPANYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Mr. Tim Onderlinde
Title
Coo
Phone
(269) 343-2224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X EMS0000010017 TN Primary

Addresses

Primary practice location

208 Crutchfield Ave
Nashville, TN 37210-4710

Mailing address

828 Portage St
Kalamazoo, MI 49001-3004
Phone (269) 343-2224

Other identifiers 1

IdentifierTypeStateIssuer
4060541MedicaidTN

Other names 1

  • PRIDE CARE Doing business as

National Provider Directory

National Provider Directory
Part of
Pride Ambulance Company

Locations

521 Royal Pkwy
Nashville, TN 37214
Phone (615) 889-4445

208 Crutchfield Ave
Nashville, TN 37210
Phone (615) 889-4445

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1265400451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 PORTAGE ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490013004",
            "telephone_number": "269-343-2224",
            "fax_number": "269-343-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 CRUTCHFIELD AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372104710",
            "telephone_number": "615-889-4445",
            "fax_number": "615-884-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE AMBULANCE COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIDE AMBULANCE COMPANY",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "ONDERLINDE",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "269-343-2224",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": "EMS0000010017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4060541",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIDE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.