Covenant Medical Transport LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COVENANT MEDICAL TRANSPORT LLC

Practice address

6759 Bauxhall Dr
Germantown, TN 38138-0629

Phone

(901) 530-0993

Fax

(901) 421-8586

NPI assigned

Apr 30, 2015

Last updated

Oct 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Julie Ann Davis

Title

Owner

Phone

(901) 530-0993

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1912384801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6759 BAUXHALL DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381380629",
            "fax_number": "901-421-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6759 BAUXHALL DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381380629",
            "telephone_number": "901-530-0993",
            "fax_number": "901-421-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-530-0993",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Corr, M.D.
• Jackie L Correro, FNP
• Laura Cortines, CRNA
• Christopher Cosgrove, M.D.
• Heather Vinicki Couvillion, P.T.
• Norine Covington
• Rachel Covington, M.S
• Ben W. Cox, AU.D.
• Daniel Eric Crane, OTR/L
• John D Crawford, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.