Claiborne EMS LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

10180 Issued in TN

Legal business name

CLAIBORNE EMS LLC

Practice address

1809 Old Knoxville Rd
Tazewell, TN 37879-3632

Phone

(865) 374-6872

Fax

(423) 626-1742

NPI assigned

May 12, 2014

Last updated

May 12, 2014By 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 T Geppi

Title

Executive VP

Phone

(865) 374-6872

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1376954487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 OLD KNOXVILLE RD",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793632",
            "telephone_number": "865-374-6872",
            "fax_number": "423-626-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 OLD KNOXVILLE RD",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793632",
            "telephone_number": "865-374-6872",
            "fax_number": "423-626-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAIBORNE EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "GEPPI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "865-374-6872"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": "10180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Cheek, SPEECH PATHOLOGIST
• Claiborne County Board of Education
• Claiborne County Hospital Ambulance Service
• Claiborne County Hospital Claiborne County Ambulance (Claiborne County Hospital)
• Claiborne County Hospital Pharmacy
• Claiborne Health & Wellness Inc.
• Claiborne Medical Center (Claiborne County Nursing Home)
• Claiborne Medical Center (Claiborne County Nursing Home)
• Claiborne Medical Center
• Nan Stanifer Cole, R.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.