Ambulance Service of Bristol Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

9925 Issued in TN

Legal business name

AMBULANCE SERVICE OF BRISTOL INC

Practice address

1718 Shelby St
Bristol, TN 37620-1938

Phone

(423) 764-4942

Fax

(423) 764-2064

NPI assigned

Mar 10, 2006

Last updated

Jul 30, 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

George W Elliott

Title

Ceo

Phone

(423) 764-4942

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1396713673",
    "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": "1718 SHELBY ST",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201938",
            "telephone_number": "423-764-4942",
            "fax_number": "423-764-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULANCE SERVICE OF BRISTOL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-764-4942"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TN",
            "license": "9925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3568905",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "080041100",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela J. Alley, RN, BSN, MPT
• Allied Rehab Services (Allied Rehab)
• Allied Rehabilitation Equipment, Inc. (Allied Rehab Services)
• Benjamin Altman, MD
• Jeffrey Stephen Alvis, MD
• Shirin Amirfaiz, D.D.S.
• Anchor Health & Wellness PLLC
• Anderson Compounding Pharmacy Inc (Anderson Compounding Pharmacy)
• Alexander Keith Anderson, FNP
• Jessica Dawn Anderson, CPNP-PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.