Greene County Greeneville Emergency Medical Services

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS0000003001 Issued in TN

Legal business name

GREENE COUNTY GREENEVILLE EMERGENCY MEDICAL SERVICES

Practice address

1027 Forest St
Greeneville, TN 37743-4611

Phone

(423) 798-1720

Fax

(423) 798-1721

NPI assigned

Nov 1, 2005

Last updated

Jun 16, 2021By 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. Jessica Nicole Bowers

Title

Office Manager

Phone

(423) 798-1720

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Myron Hughes

  • Paramedic
  • Greeneville, TN
  • NPI 1326901976
  NPD

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1629069430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 FOREST ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377434611",
            "telephone_number": "423-798-1720",
            "fax_number": "423-798-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 FOREST ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377434611",
            "telephone_number": "423-798-1720",
            "fax_number": "423-798-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE COUNTY GREENEVILLE EMERGENCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-798-1720",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": "EMS0000003001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100021810",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4120193",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greater Regional Eye Group
• Katlyn Green
• Greene County Drug Store LLC
• Greene County Employee Clinic
• Greene County Greeneville Emergency Medical Services
• Greene County Health Department
• Greene County Health Department
• Greene County School System
• Greene County Skills, Inc.
• Greene Valley Developmental Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.