Organization Active NPI

Liberty EMS.Inc

  • Ambulance
  • Madison, TN
National Provider Identifier
1780801589
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
EMS0000009924 Issued in TN
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
T1000166MedicaidTN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.