Organization 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
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
10043 Issued in TN
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071211000086 TN Part B Supplier - Ambulance Service Supplier 3375632599 Practice locations: Smithville, TN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.