Organization Active NPI

County of Putnam

  • Land Ambulance
  • Cookeville, TN
National Provider Identifier
1679576169
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
COUNTY OF PUTNAM
Practice address
700 County Services Dr
Cookeville, TN 38501-4299
Phone
(931) 525-2103
Fax
(931) 372-0295
NPI assigned
May 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ernest Tommy Copeland, CC PARAMEDIC
Title
Chief
Phone
(931) 525-2103

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 7101 TN
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

700 County Services Dr
Cookeville, TN 38501-4299

Mailing address

700 County Services Dr
Cookeville, TN 38501-4299
Phone (931) 525-2103

Other identifiers 1

IdentifierTypeStateIssuer
3539369MedicaidTN

Other names 1

  • Putnam County EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091130000094 TN Part B Supplier - Ambulance Service Supplier 1557400850 Practice locations: Cookeville, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0950551Putnam County Ambulance Service700 County Services Drive, Cookeville, TN 38501Certificate of waiverSep 3, 2026

National Provider Directory

National Provider Directory

Locations

700 County Services Dr
Cookeville, TN 38501
Phone (931) 525-2103

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1679576169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 COUNTY SERVICES DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014299",
            "telephone_number": "931-525-2103",
            "fax_number": "931-372-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 COUNTY SERVICES DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014299",
            "telephone_number": "931-525-2103",
            "fax_number": "931-372-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF PUTNAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "TOMMY",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "931-525-2103",
        "authorized_official_credential": "CC PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TN",
            "license": "7101",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3539369",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Putnam County EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Putnam County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.