Murfreesboro Convalescent Service

Primary specialty

AmbulanceTaxonomy code 341600000X

License

EMS0000007503 Issued in TN

Legal business name

MURFREESBORO CONVALESCENT SERVICE

Practice address

4428 Lascassas Pike
Murfreesboro, TN 37130-6871

Phone

(615) 890-3463

Fax

(615) 895-8867

NPI assigned

May 23, 2005

Last updated

Jun 26, 2008By 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

Mr. Woody Harrell Medlock Sr.

Title

Emta Owner

Phone

(615) 890-3463

Specialties & licenses 1

Addresses

Other names 1

• Murfreesboro Ambulance Service Other name

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1326041534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 759",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371330759",
            "telephone_number": "615-890-3463",
            "fax_number": "615-895-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4428 LASCASSAS PIKE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371306871",
            "telephone_number": "615-890-3463",
            "fax_number": "615-895-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURFREESBORO CONVALESCENT SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "MEDLOCK",
        "authorized_official_first_name": "WOODY",
        "authorized_official_middle_name": "HARRELL",
        "authorized_official_title_or_position": "EMTA OWNER",
        "authorized_official_telephone_number": "615-890-3463",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TN",
            "license": "EMS0000007503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Murfreesboro Ambulance Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Ambulance in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Ambulance in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.