Active NPI
McMinn County Emergency Medical Services
- Land Ambulance
- Athens, TN
National Provider Identifier
1407804024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- EMS0000010010
- Legal business name
- MCMINN COUNTY EMERGENCY MEDICAL SERVICES
- Practice address
- 201 Lawn St
Athens, TN 37303-1724 - Phone
- (423) 745-3336
- Fax
- (423) 745-5935
- NPI assigned
- May 5, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian Keith Teague, EMT-P
- Title
- Interim Director
- Phone
- (423) 745-3336
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | EMS0000010010 | TN | Primary |
Addresses
Primary practice location
201 Lawn St
Athens, TN 37303-1724
Mailing address
201 Lawn St
Athens, TN 37303-1724
Phone (423) 745-3336
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46050270 | Other | TN | BC/BS OF TN |
| 4050270 | Other | TN | BLUECARE |
| 4108565 | Other | TN | TENNCARE SELECT |
| P00107235 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
201 Lawn St
Athens, TN 37303
Phone (423) 745-3336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1407804024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 LAWN ST",
"city": "ATHENS",
"state": "TN",
"postal_code": "373031724",
"telephone_number": "423-745-3336",
"fax_number": "423-745-5935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 LAWN ST",
"city": "ATHENS",
"state": "TN",
"postal_code": "373031724",
"telephone_number": "423-745-3336",
"fax_number": "423-745-5935"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCMINN COUNTY EMERGENCY MEDICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TEAGUE",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "KEITH",
"authorized_official_title_or_position": "INTERIM DIRECTOR",
"authorized_official_telephone_number": "423-745-3336",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "EMT-P"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TN",
"license": "EMS0000010010",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF TN",
"identifier": "46050270",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECARE",
"identifier": "4050270",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNCARE SELECT",
"identifier": "4108565",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00107235",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.