Organization Active NPI

Roane County Government

  • Land Ambulance
  • Harriman, TN
National Provider Identifier
1659348209
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on May 31, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2002115OtherTNBLUE CROSS
590009123OtherMC RAILROAD
100020939OtherTNPHP

Other names 1

  • Roane County Emergency Medical Service Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110712000663 TN Part B Supplier - Ambulance Service Supplier 7214105543 Practice locations: Harriman, TN; Rockwood, TN; Kingston, TN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.