Claiborne County Hospital Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS0000001301 Issued in TN

Legal business name

CLAIBORNE COUNTY HOSPITAL AMBULANCE SERVICE

Practice address

1809 Old Knoxville Rd
Tazewell, TN 37879-3632

Phone

(423) 526-2244

Fax

(423) 626-1742

NPI assigned

Nov 4, 2005

Last updated

Jul 25, 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

Mrs. Carolyn G Epperson

Title

Office Manager

Phone

(423) 526-2244

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1609867936",
    "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": "423-526-2244",
            "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": "423-526-2244",
            "fax_number": "423-626-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAIBORNE COUNTY HOSPITAL AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "EPPERSON",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-526-2244",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": "EMS0000001301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "003013228",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3560307",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carroll Rose, MD
• Whitney Chance, PMHNP-BC
• Daphne Cheek
• Holly Cheek, SPEECH PATHOLOGIST
• Claiborne County Board of Education
• Claiborne County Hospital Claiborne County Ambulance (Claiborne County Hospital)
• Claiborne County Hospital Pharmacy
• Claiborne EMS LLC
• Claiborne Health & Wellness Inc.
• Claiborne Medical Center (Claiborne County Nursing Home)

• 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 Jul 25, 2008; 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.