Metropolitan Lynchburg-Moore County
Organization Active NPI Land Ambulance · Lynchburg, TN
NPI 1629107263 · NPPES record last updated Apr 11, 2025
Key facts
- NPI
- 1629107263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- METROPOLITAN LYNCHBURG-MOORE COUNTY
- Practice address
- 1333 Main St
Lynchburg, TN 37352-8321 - Phone
- (931) 759-7272
- Fax
- (931) 759-5568
- NPI assigned
- Mar 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Jason Deal
- Title
- Public Safety Director
- Phone
- (931) 464-1009
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2005425 | Metro Moore County Ambulance Service | Certificate of waiver | Mar 25, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091014000676 | TN | Part B Supplier - Ambulance Service Supplier | 9234275637 | Practice locations: Lynchburg, TN |
National Provider Directory
Locations
1333 Main St
Lynchburg, TN 37352
Phone (931) 759-7272
462 Main St
Lynchburg, TN 37352
Phone (931) 759-7260
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | EMS0000006401 | TN | |
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
1333 Main St
Lynchburg, TN 37352-8321
Mailing address
PO Box 429
Lewisville, NC 27023-0429
Phone (800) 814-5339
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 628252200 | Other | TN | DOL |
| 3528231 | Medicaid | TN |
Other names
- Metro Moore County Ambulance Service
Other providers in Lynchburg, TN
- Highlands Consulting LLC
- Lynchburg Family Medicine and Minor Emergency Center PC
- Lynchburg Medical Clinic, LLC
- Lynchburg Medical Investors, LLC
- Judy Carol Merritt
- Robert Price
- Deadra Renea Quinn
- Robert R Yasui
- Robert W Gray
- Shelbyville Hospital Corporation
All providers in Lynchburg, TN · Land Ambulance in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.