Trans Med Incorporation Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1603 Issued in TN

Legal business name

TRANS MED INCORPORATION AMBULANCE SERVICE

Practice address

211 S Anderson St
Tullahoma, TN 37388-3735

Phone

(931) 455-2535

Fax

(931) 393-2646

NPI assigned

Aug 3, 2005

Last updated

Jul 23, 2007By 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

Mr. Michael Bonner

Title

Director

Phone

(931) 455-2535

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1629079363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373880416",
            "telephone_number": "931-455-2535",
            "fax_number": "931-393-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S ANDERSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883735",
            "telephone_number": "931-455-2535",
            "fax_number": "931-393-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANS MED INCORPORATION AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "931-455-2535",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": "1603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3554917",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "85080",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Tullahoma, TN
• Providers in Tullahoma, 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 23, 2007; 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.