Organization Active NPI

Integrity EMS LLC

  • Ambulance
  • Madison, TN
National Provider Identifier
1851974208
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
INTEGRITY EMS LLC
Practice address
607 W Due West Ave Ste 107
Madison, TN 37115-4420
Phone
(615) 249-4367
Fax
(615) 392-3420
NPI assigned
May 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Mr. William Kelleher
Title
Owner/Ceo
Phone
(615) 249-4367

Specialties & licenses 2

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

Addresses

Primary practice location

607 W Due West Ave Ste 107
Madison, TN 37115-4420

Mailing address

607 W Due West Ave Ste 107
Madison, TN 37115-4420
Phone (615) 249-4367

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210818001010 TN Part B Supplier - Ambulance Service Supplier 4183026750 Practice locations: Madison, TN

National Provider Directory

National Provider Directory

Locations

607 W Due West Ave
Ste 107
Madison, TN 37115
Phone (615) 249-4367

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1851974208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W DUE WEST AVE STE 107",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154420",
            "telephone_number": "615-249-4367",
            "fax_number": "615-392-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W DUE WEST AVE STE 107",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154420",
            "telephone_number": "615-249-4367",
            "fax_number": "615-392-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "KELLEHER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "615-249-4367",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.