Organization Active NPI

County of Hardeman

Doing business as Hardeman County Ambulance Service

  • Land Ambulance
  • Bolivar, TN
National Provider Identifier
1689623050
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS0000003502 Issued in TN
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100326000148 TN Part B Supplier - Ambulance Service Supplier 7113053471 Practice locations: Bolivar, 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
44D0984113Hardeman County Ambulance Service225 Lucy Black Road, Bolivar, TN 38008Certificate of waiverMar 12, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.