Active NPI
Liberty EMS.Inc
- Ambulance
- Madison, TN
National Provider Identifier
1780801589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- EMS0000009924
- Legal business name
- LIBERTY EMS.INC
- Practice address
- 310 Madison St
Madison, TN 37115 - Phone
- (615) 868-6744
- Fax
- (615) 868-9763
- NPI assigned
- Apr 20, 2007
- 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
- Mr. Randall Duane Reed
- Title
- Ceo
- Phone
- (615) 868-6744
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | EMS0000009924 | TN | Primary |
Addresses
Primary practice location
310 Madison St
Madison, TN 37115
Mailing address
PO Box 888
Madison, TN 37116-0888
Phone (615) 868-6744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T1000166 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
310 Madison St
Madison, TN 37115
Phone (615) 868-6744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1780801589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 888",
"city": "MADISON",
"state": "TN",
"postal_code": "371160888",
"telephone_number": "615-868-6744",
"fax_number": "615-868-9763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 MADISON ST",
"city": "MADISON",
"state": "TN",
"postal_code": "37115",
"telephone_number": "615-868-6744",
"fax_number": "615-868-9763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY EMS.INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "REED",
"authorized_official_first_name": "RANDALL",
"authorized_official_middle_name": "DUANE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "615-868-6744",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "TN",
"license": "EMS0000009924",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T1000166",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.