Marshall County Government

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS0000005901 Issued in TN

Legal business name

MARSHALL COUNTY GOVERNMENT

Doing business as

Marshall County Ambulance Service

Practice address

728 South Ellington Parkway
Lewisburg, TN 37091-3460

Phone

(931) 359-0540

Fax

(931) 359-0546

NPI assigned

Aug 3, 2005

Last updated

Feb 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Reese

Title

EMS Director

Phone

(931) 359-0540

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Marshall County Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Tax ID family

Marshall County Government2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Marshall Counth Health Department

  • Public Health or Welfare Agency
  • Lewisburg, TN
  • NPI 1275801722
  NPD tax ID

Locations

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1295736908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 S ELLINGTON PKWY",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370913460",
            "telephone_number": "931-359-0540",
            "fax_number": "931-359-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 SOUTH ELLINGTON PARKWAY",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370913460",
            "telephone_number": "931-359-0540",
            "fax_number": "931-359-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL COUNTY GOVERNMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "931-359-0540"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": "EMS0000005901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "2006152",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "4110416",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3523823",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshall County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marshall County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Lowe, LCSW
• Amy R. Maguire, P.T.
• Mallard Eye Care, LLC
• Marshall Counth Health Department
• Marshall County Chiropractic
• Marshall County Senior Citizens, Inc.
• Marshall Medial Center (George Bone, MD)
• Deanna Nicolett Marshall, RBT
• Lisa Masri, LCSW
• Mitchell Scott Mathes

• Land Ambulance in Lewisburg, TN
• Providers in Lewisburg, TN by specialty
• Land Ambulance in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.