Blue Shield Ambulance Service LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

191419 Issued in TN

Legal business name

BLUE SHIELD AMBULANCE SERVICE LLC

Practice address

941 Allen Rd
Nashville, TN 37214-3598

Phone

(888) 857-3667

NPI assigned

Apr 12, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Mahmoud Jboor

Title

President

Phone

(888) 857-3667

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1851755136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 DONELSON PIKE",
            "address_2": "STE 103",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143559",
            "telephone_number": "888-857-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 ALLEN RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143598",
            "telephone_number": "888-857-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SHIELD AMBULANCE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "JBOOR",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-857-3667",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": "191419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.