COUNTY OF MACON - OFFICE OF COUNTY EXECUTIVE (NPI# 1285745356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285745356 |
| Entity Type | Organization |
| Organization Name | COUNTY OF MACON - OFFICE OF COUNTY EXECUTIVE |
| Other Organization Name | MACON COUNTY EMS |
| Practice Address |
30 Weldon Dr. Lafayette TN 37083 |
| Practice Telephone | 6156662324 |
| Practice Fax Number | 6156667699 |
| Mailing Telephone | 6156662324 |
| Mailing Fax Number | 6156667699 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-05-13 |
| Authorized Official Name | MICHAEL ETHRIDGE (DIRECTOR) |
| Authorized Official Telephone | 6156662324 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
5601 | TN | Transportation Services |
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3524419 | 05 |
| Other Name | Type Code |
|---|---|
| Macon County EMS | Doing Business As Name - Organization |
| Street Address |
30 WELDON DR. |
| City | LAFAYETTE |
| State | TN |
| Zip Code | 37083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467995613 | Osarugue Grace Richards | Nurse Practitioner | 209 College Street, Lafayette, TN 37083 | 2016-11-21 |
| 1619332202 | Lindsey Carr | Licensed Practical Nurse | 601 Highway 52 By Pass East, Lafayette, TN 37083 | 2015-12-23 |
| 1275888992 | Jamii Johnson | Family Medicine | 200 Highway 52 Byp E Ste D, Lafayette, TN 37083 | 2012-07-18 |
| 1740572767 | John Steven Conger | Pharmacist | 320 Hwy 52 Bypass W, Rite Aid Pharmacy, Lafayette, TN 37083 | 2011-05-10 |
| 1871719294 | Kathryn Ann Fitzgerald | Pharmacist | 320 Hwy 52 Bypass West, Lafayette, TN 37083 | 2007-04-17 |
| 1770619777 | Brande Nicole Pharris | Registered Nurse | 601 Hwy Bypass 52, Tn Dept of Health, Lafayette, TN 37083 | 2007-02-26 |
| 1528194529 | Kelly Renae Ritter | Nurse's Aide | 601 Hwy 52 Bypass East, Tn Dept of Health, Lafayette, TN 37083 | 2007-02-26 |
| 1942336946 | Tammy Michelle Driver | Registered Nurse | 601 Highway 52 Bypass East, Tn Dept of Health, Lafayette, TN 37083 | 2007-02-26 |
| 1144395948 | Larry C Key | Dentist | 726 Hwy 52 By Pass W, Lafayette, TN 37083 | 2006-11-21 |
| 1689745069 | Family Care Center LLC | Family Medicine | 207 West Locust Street, Lafayette, TN 37083 | 2006-11-10 |
| Find all providers in zip 37083 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710492939 | Phoenix Paramedic Solutions, LLC | Ambulance | 1600 Kepner Dr Ste E, Lafayette, IN 47905-7436 | 2017-12-11 |
| 1386942639 | City of Lafayette | Ambulance | 800 Main Ave., Lafayette, MN 56054 | 2011-03-10 |
| 1154561058 | Wea Township Community Fire Department | Ambulance | 1700 Wea School Rd, Lafayette, IN 47909-9041 | 2009-03-05 |
| 1568526820 | Jackson Township Board of Trustees | Ambulance | 215 E. Sugar Street, Lafayette, OH 45854 | 2006-12-21 |
| 1285701292 | City of Lafayette | Ambulance | 401 North 111th Street, Lafayette, CO 80026-0068 | 2006-11-29 |
| 1497837421 | Roger Vines LLC | Ambulance | 211 B St, Lafayette, AL 36862-2095 | 2006-10-19 |
| 1528169216 | City of Lafayette Ems | Ambulance | 56 2nd Ave Sw, Lafayette, AL 36862-1945 | 2006-09-26 |
| 1063497121 | Tippecanoe Emergency Ambulance Service | Ambulance | 1501 Hartford St, Lafayette, IN 47904-2134 | 2005-12-13 |
| 1316943566 | Acadian Ambulance Service, Inc. | Ambulance | 130 E Kaliste Saloom Rd, Lafayette, LA 70508-8308 | 2005-06-22 |
| 1770859175 | Prompt Ambulance Central, Inc. | Ambulance | 1600 Kepner Dr, Suite E, Lafayette, IN 47905-7427 | 2012-03-29 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.