Active NPI
County of Putnam
- Land Ambulance
- Cookeville, TN
National Provider Identifier
1679576169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3539369 | Medicaid | TN |
Other names 1
- Putnam County EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091130000094 | TN | Part B Supplier - Ambulance Service Supplier | 1557400850 | Practice locations: Cookeville, TN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0950551 | Putnam County Ambulance Service | Certificate of waiver | Sep 3, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.