Caremed EMS of Tennessee LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CAREMED EMS OF TENNESSEE LLC

Practice address

144 Medical Center Dr Ste C
Copperhill, TN 37317-5006

Phone

(662) 380-5138

NPI assigned

Oct 4, 2020

Last updated

Oct 4, 2020By 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

David Grayson

Title

Ceo

Phone

(662) 380-5138

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1601769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601769600000",
    "number": "1669079570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1051",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386551051",
            "telephone_number": "662-380-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 MEDICAL CENTER DR STE C",
            "city": "COPPERHILL",
            "state": "TN",
            "postal_code": "373175006",
            "telephone_number": "662-380-5138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4867 Highway 411",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373235360",
            "country_code": "US",
            "telephone_number": "662-380-5138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAREMED EMS OF TENNESSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-04",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A",
        "authorized_official_last_name": "GRAYSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-380-5138"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Adler, PH.,D, M.D.
• Ameripro EMS of Tennessee, LLC
• Tiffany Boring
• C Dennis Muse
• Jessica Ella Collins, PA-C
• David Wayne Cook, RPH
• Copper Basin Community Hospital (Copper Basin Family Healthcare)
• Copper Basin Community Hospital Inc (Copper Basin Med Ctr Swing Bed)
• Copper Basin Community Hospital Inc (Copper Basin Medical Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2020; 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.