Carter County Emergency & Rescue Squad, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS0000001001 Issued in TN

Legal business name

CARTER COUNTY EMERGENCY & RESCUE SQUAD, INC

Practice address

105 Iodent Way
Elizabethton, TN 37643-6003

Phone

(423) 542-8421

Fax

(423) 543-4323

NPI assigned

Sep 1, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Terry L Arnold

Title

Ceo/EMS Director

Phone

(423) 543-5445

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1992799233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376440776",
            "telephone_number": "423-542-8421",
            "fax_number": "423-543-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 IODENT WAY",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376436003",
            "telephone_number": "423-542-8421",
            "fax_number": "423-543-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER COUNTY EMERGENCY & RESCUE SQUAD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/EMS DIRECTOR",
        "authorized_official_telephone_number": "423-543-5445",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": "EMS0000001001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3561580",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEACHCARE",
            "identifier": "477503002A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PGBA",
            "identifier": "590007149",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4110142",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charity Faith Campbell, PTA
• Eric Shannon Campbell, P.T.
• Ronda Lynn Carpenter, PHARMD
• Carrefour Counseling & Play Therapy LLC
• Shelley Carroll, MS CCC-SLP
• Carter County Health Department
• Eric Andrew Carter, PHARMD
• Erica Renee Carter, AUD
• Glenna Cates
• Scott O Caudle, MD

• Land Ambulance in Elizabethton, TN
• Providers in Elizabethton, 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 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.