Organization Active NPI

Southland Health Services

  • Land Ambulance
  • Unicoi, TN
National Provider Identifier
1962531400
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS0000010022 Issued in TN
Legal business name
SOUTHLAND HEALTH SERVICES
Practice address
3421 Unicoi Dr
Unicoi, TN 37692-4322
Phone
(423) 735-4466
Fax
(423) 735-4465
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Teresa Sullivan
Title
Office Manager
Phone
(205) 695-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X EMS0000010022 TN Primary

Addresses

Primary practice location

3421 Unicoi Dr
Unicoi, TN 37692-4322

Mailing address

PO Box 1497
Vernon, AL 35592-1497
Phone (205) 695-9800

Other identifiers 1

IdentifierTypeStateIssuer
4079766MedicaidTN

National Provider Directory

National Provider Directory

Locations

3421 Unicoi Dr
Unicoi, TN 37692
Phone (423) 735-4466

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962531400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1497",
            "city": "VERNON",
            "state": "AL",
            "postal_code": "355921497",
            "telephone_number": "205-695-9800",
            "fax_number": "205-695-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 UNICOI DR",
            "city": "UNICOI",
            "state": "TN",
            "postal_code": "376924322",
            "telephone_number": "423-735-4466",
            "fax_number": "423-735-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-695-9800"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": "EMS0000010022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4079766",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Unicoi, TN

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.