Active NPI
County of Hardeman
Doing business as Hardeman County Ambulance Service
- Land Ambulance
- Bolivar, TN
National Provider Identifier
1689623050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- EMS0000003502
- Legal business name
- COUNTY OF HARDEMAN
- Doing business as
- Hardeman County Ambulance Service
- Practice address
- 225 Lucy Black Road
Bolivar, TN 38008 - Phone
- (731) 659-3772
- NPI assigned
- May 10, 2006
- Last updated
- Apr 8, 2026
- 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
- Rusty Thigpen
- Title
- EMS Director
- Phone
- (731) 659-3772
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | EMS0000003502 | TN | Primary |
Addresses
Primary practice location
225 Lucy Black Road
Bolivar, TN 38008
Mailing address
PO Box 49
Bolivar, TN 38008-0049
Phone (731) 659-3772
Other names 1
- Hardeman County Ambulance 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 |
|---|---|---|---|---|
| O20100326000148 | TN | Part B Supplier - Ambulance Service Supplier | 7113053471 | Practice locations: Bolivar, 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 |
|---|---|---|---|
| 44D0984113 | Hardeman County Ambulance Service | Certificate of waiver | Mar 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
225 Lucy Black Rd
Bolivar, TN 38008
Phone (731) 659-3772
735 Naylor St
Bolivar, TN 38008
Phone (731) 658-3200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775606400000",
"number": "1689623050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 49",
"city": "BOLIVAR",
"state": "TN",
"postal_code": "380080049",
"telephone_number": "731-659-3772",
"fax_number": "731-658-1898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 LUCY BLACK ROAD",
"city": "BOLIVAR",
"state": "TN",
"postal_code": "38008",
"telephone_number": "731-659-3772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF HARDEMAN",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-10",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A",
"authorized_official_last_name": "THIGPEN",
"authorized_official_first_name": "RUSTY",
"authorized_official_title_or_position": "EMS DIRECTOR",
"authorized_official_telephone_number": "731-659-3772"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TN",
"license": "EMS0000003502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hardeman County Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bolivar, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.