Medicone Medical Response Delta Region Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

10203 Issued in TN

Legal business name

MEDICONE MEDICAL RESPONSE DELTA REGION INC

Practice address

1995 Highway 51 S
Covington, TN 38019-3635

Phone

(901) 521-8800

Fax

(866) 215-6089

NPI assigned

Aug 30, 2016

Last updated

Aug 30, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James (Jim) Reeves

Title

Owner

Phone

(217) 690-5672

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1790231686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 HIGHWAY 51 S",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380193635",
            "telephone_number": "901-521-8800",
            "fax_number": "866-215-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 HIGHWAY 51 S",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380193635",
            "telephone_number": "901-521-8800",
            "fax_number": "866-215-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICONE MEDICAL RESPONSE DELTA REGION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "JAMES (JIM)",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-690-5672"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": "10203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa McLemore, DPT
• Nicole Renee McLemore, BSN, RN
• Kayla Tiara McMorise
• Amy Jean Medford, MSN-FNP
• Stephanie Denise Medford, RN
• Tina Mellesmoen, RN
• Craig Campbell Metcalf, FNP
• Mid-South Respiratory Care Services, LLC
• Midsouth Stat Medical Center
• Carol A Miller

• Land Ambulance in Covington, TN
• Providers in Covington, TN by specialty
• Land Ambulance in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.