Organization Active NPI

Warren County Ttee

  • Land Ambulance
  • McMinnville, TN
National Provider Identifier
1790760767
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
WARREN COUNTY TTEE
Practice address
103 Magness Dr
McMinnville, TN 37110-1321
Phone
(931) 473-6902
Fax
(931) 473-8473
NPI assigned
Dec 13, 2005
Organization subpart
Yes
Parent organization
WARREN COUNTY TTEEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Teresa A Lawson
Title
Billing Clerk
Phone
(931) 473-6902

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X EMS0000008901 TN
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

103 Magness Dr
McMinnville, TN 37110-1321

Mailing address

103 Magness Dr
McMinnville, TN 37110-1321
Phone (931) 473-6902

Other identifiers 2

IdentifierTypeStateIssuer
3554384MedicaidTN
80473OtherTENCARE SELECT BLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120413000411 TN Part B Supplier - Ambulance Service Supplier 2365603693 Practice locations: McMinnville, TN; Morrison, TN

National Provider Directory

National Provider Directory
Part of
Warren Co Ambulance

Locations

103 Magness Dr
McMinnville, TN 37110
Phone (931) 473-6902

1022 Old Smithville Rd
McMinnville, TN 37110
Phone (931) 473-6902

9779 Manchester Hwy
Morrison, TN 37357
Phone (931) 473-6902

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1790760767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MAGNESS DR",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371101321",
            "telephone_number": "931-473-6902",
            "fax_number": "931-473-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MAGNESS DR",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371101321",
            "telephone_number": "931-473-6902",
            "fax_number": "931-473-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN COUNTY TTEE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WARREN COUNTY TTEE",
        "enumeration_date": "2005-12-13",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "931-473-6902"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TN",
            "license": "EMS0000008901",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3554384",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENCARE SELECT BLUE CROSS",
            "identifier": "80473",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.