Union County EMS

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS0000010021 Issued in TN

Legal business name

UNION COUNTY EMS

Practice address

211 Mulberry Ave
Maynardville, TN 37807-3545

Phone

(865) 992-7593

Fax

(865) 992-7595

NPI assigned

Jun 14, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Micheal R Williams

Title

County Mayor

Phone

(865) 992-7593

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1427053750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MULBERRY AVE",
            "city": "MAYNARDVILLE",
            "state": "TN",
            "postal_code": "378073545",
            "telephone_number": "865-992-7593",
            "fax_number": "865-992-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MULBERRY AVE",
            "city": "MAYNARDVILLE",
            "state": "TN",
            "postal_code": "378073545",
            "telephone_number": "865-992-7593",
            "fax_number": "865-992-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION COUNTY EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "COUNTY MAYOR",
        "authorized_official_telephone_number": "865-992-7593",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": "EMS0000010021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3574799",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4121243",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4094982",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Tong, CCC/SLP
• Rachel Treadway
• Megan Turner, OTR/L
• Ucsc Primary Care
• Ucsc Primary Care - Union County LLC
• Union County Health Department
• Union Discount Pharmacy Inc
• Union Family Medicine
• Richard Valente, LMSW
• Vivek Kalpathi Venkatesh, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.