Active NPI
Warren County Ttee
- Land Ambulance
- McMinnville, TN
National Provider Identifier
1790760767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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 TTEE
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3554384 | Medicaid | TN | |
| 80473 | Other | TENCARE SELECT BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.