Active NPI
County of Dekalb Office of County Judge
Doing business as Dekalb County Emergence Medical Service
- Land Ambulance
- Smithville, TN
National Provider Identifier
1801082383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 10043
- Legal business name
- COUNTY OF DEKALB OFFICE OF COUNTY JUDGE
- Doing business as
- Dekalb County Emergence Medical Service
- Practice address
- 248 Meadowbrook Dr
Smithville, TN 37166-3109 - Phone
- (615) 597-6768
- Fax
- (615) 597-8109
- NPI assigned
- Sep 19, 2007
- Last updated
- Jun 8, 2022
- 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
- Hoyte E Hale
- Title
- Director
- Phone
- (615) 597-6768
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 10043 | TN | Primary |
Addresses
Primary practice location
248 Meadowbrook Dr
Smithville, TN 37166-3109
Mailing address
248 Meadowbrook Dr
Smithville, TN 37166-3109
Phone (615) 597-6768
Other names 1
- Dekalb County Emergence Medical Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071211000086 | TN | Part B Supplier - Ambulance Service Supplier | 3375632599 | Practice locations: Smithville, TN |
National Provider Directory
National Provider DirectoryLocations
248 Meadowbrook Dr
Smithville, TN 37166
Phone (615) 597-6768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654646400000",
"number": "1801082383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 MEADOWBROOK DR",
"city": "SMITHVILLE",
"state": "TN",
"postal_code": "371663109",
"telephone_number": "615-597-6768",
"fax_number": "615-597-8109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 MEADOWBROOK DR",
"city": "SMITHVILLE",
"state": "TN",
"postal_code": "371663109",
"telephone_number": "615-597-6768",
"fax_number": "615-597-8109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF DEKALB OFFICE OF COUNTY JUDGE",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-19",
"last_updated": "2022-06-08",
"certification_date": "2021-10-20",
"status": "A",
"authorized_official_last_name": "HALE",
"authorized_official_first_name": "HOYTE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "615-597-6768"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TN",
"license": "10043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dekalb County Emergence Medical Service",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Dekalb County Emergence Medical Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Smithville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.