Organization Active NPI

McMinn County Emergency Medical Services

  • Land Ambulance
  • Athens, TN
National Provider Identifier
1407804024
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS0000010010 Issued in TN
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
46050270OtherTNBC/BS OF TN
4050270OtherTNBLUECARE
4108565OtherTNTENNCARE SELECT
P00107235OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.