Coffee County Senior Citizens, Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

COFFEE COUNTY SENIOR CITIZENS, INC

Practice address

410 N Collins St
Tullahoma, TN 37388-3231

Phone

(931) 455-2504

Fax

(931) 455-2911

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Doris Pearson

Title

Executive Director

Phone

(931) 455-2504

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609912716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N COLLINS ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883231",
            "telephone_number": "931-455-2504",
            "fax_number": "931-455-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N COLLINS ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883231",
            "telephone_number": "931-455-2504",
            "fax_number": "931-455-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COFFEE COUNTY SENIOR CITIZENS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "931-455-2504",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T000168",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Renee Cicero, CRNA
• Jeanetta Clark
• Mia Jones Clermont, APRN, RN
• Susan Clower
• Coffee County Internal Medicine,PC
• Lori Coffman
• Richard Clinton Cole, MD
• Robert Craig Collier, MD
• Suzanne Chamblee Collier, MD
• Community Hospices of America - Tennessee, LLC

• Non-emergency Medical Transport (VAN) in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Non-emergency Medical Transport (VAN) in Tennessee

• 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.