Jefferson County Emergency Medical Serv.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS0000004501 Issued in TN

Legal business name

JEFFERSON COUNTY EMERGENCY MEDICAL SERV.

Practice address

911 Industrial Park Rd
Dandridge, TN 37725-4701

Phone

(865) 397-7228

Fax

(865) 397-4687

NPI assigned

Jun 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joesph B. Phillips Jr.

Title

Director

Phone

(865) 397-7228

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Tax ID family

Jefferson County Emergency Medical Serv2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jefferson County EMS

  • Land Ambulance
  • Jefferson City, TN
  • NPI 1710256946
  NPD tax ID

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891731444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 INDUSTRIAL PARK RD",
            "address_2": "PO BOX 1206",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254701",
            "telephone_number": "865-397-7228",
            "fax_number": "865-397-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 INDUSTRIAL PARK RD",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254701",
            "telephone_number": "865-397-7228",
            "fax_number": "865-397-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY EMERGENCY MEDICAL SERV.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JOESPH",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "865-397-7228",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": "EMS0000004501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP TENNCARE",
            "identifier": "2000161",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3574818",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL BCBS OF TN",
            "identifier": "4092741",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE/TENNCARE SELECT",
            "identifier": "4088822",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Hoose
• Raquel Phillips Hubbard, RN
• David Lucas James
• Jeffco Drugcenter in Dandridge, Inc.
• Jefferson County Board of Education
• Jefferson County Nursing Home
• Madeline Elaine Johnson
• Daniel Joseph Jurek, ATC
• K VA T Food Stores Inc
• Jessica Leeann Keen, CPHT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.