Active NPI
Southland Health Services
- Land Ambulance
- Unicoi, TN
National Provider Identifier
1962531400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- EMS0000010022
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4079766 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
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.