Active NPI
Roane County Government
- Land Ambulance
- Harriman, TN
National Provider Identifier
1659348209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- ROANE COUNTY GOVERNMENT
- Practice address
- 3070 Raone State Hwy
Harriman, TN 37748 - Phone
- (865) 882-6039
- Fax
- (865) 882-3004
- NPI assigned
- Mar 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert W. Creswell
- Title
- County Executive
- Phone
- (865) 882-3005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
3070 Raone State Hwy
Harriman, TN 37748
Mailing address
3070 Roane State Hwy
Harriman, TN 37748-7843
Phone (865) 882-3005
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2002115 | Other | TN | BLUE CROSS |
| 590009123 | Other | MC RAILROAD | |
| 100020939 | Other | TN | PHP |
Other names 1
- Roane County Emergency Medical Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110712000663 | TN | Part B Supplier - Ambulance Service Supplier | 7214105543 | Practice locations: Harriman, TN; Rockwood, TN; Kingston, TN |
National Provider Directory
National Provider DirectoryLocations
3070 Roane State Hwy
Harriman, TN 37748
Phone (865) 882-3005
8045 Roane Medical Center Dr
Harriman, TN 37748
Phone (865) 316-1000
1007 Ruritan Rd
Harriman, TN 37748
Phone (865) 399-6991
3108 Decatur Hwy
Kingston, TN 37763
Phone (865) 399-6994
648 Gallaher Rd
Kingston, TN 37763
Phone (865) 399-6992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685491200000",
"number": "1659348209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3070 ROANE STATE HWY",
"city": "HARRIMAN",
"state": "TN",
"postal_code": "377487843",
"telephone_number": "865-882-3005",
"fax_number": "865-882-3004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3070 RAONE STATE HWY",
"city": "HARRIMAN",
"state": "TN",
"postal_code": "37748",
"telephone_number": "865-882-6039",
"fax_number": "865-882-3004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROANE COUNTY GOVERNMENT",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-02",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A",
"authorized_official_last_name": "CRESWELL",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "COUNTY EXECUTIVE",
"authorized_official_telephone_number": "865-882-3005"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "2002115",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MC RAILROAD",
"identifier": "590009123",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "100020939",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Roane County Emergency Medical Service",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Roane County Emergency Medical Service",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Harriman, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.