SHOALS AMBULANCE LLC (NPI# 1356761589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356761589 |
| Entity Type | Organization |
| Organization Name | SHOALS AMBULANCE LLC |
| Other Organization Name | BAPTIST |
| Practice Address |
910 Callahan Dr Suite 101 Knoxville TN 37912-1347 |
| Mailing Address |
5251 S East St Suite 5 Indianapolis IN 46227-2038 |
| Practice Telephone | 8656884999 |
| Mailing Telephone | 8445974911 |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2020-04-14 |
| Authorized Official Name | MICKEUL B GIBSON (PRESIDENT AND CEO) |
| Authorized Official Telephone | 8445974911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
EMS0000010174 | TN | Transportation Services |
| Other Name | Type Code |
|---|---|
| A&E EMS | Doing Business As Name - Organization |
| Baptist | Doing Business As Name - Organization |
| Baptist Children's Hospital | Doing Business As Name - Organization |
| Priority Ambulance | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497177695 | Shoals Ambulance LLC | Ambulance | 310 E Dr Hicks Blvd, Florence, AL 35630-5770 | 2014-01-08 |
| 1073871836 | Shoals Ambulance LLC | Ambulance | 610 Thompson St, Florence, AL 35630-3859 | 2012-04-30 |
| Street Address |
910 CALLAHAN DR SUITE 101 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37912-1347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265098388 | Emily Katherine Hayes | Nurse Practitioner | 6626 Old Central Avenue Pike, Knoxville, TN 37912 | 2019-05-14 |
| 1063891620 | Sondra Haley | Counselor | 4610 Central Avenue Pike, Knoxville, TN 37912 | 2015-05-28 |
| 1518373257 | Andrew Clark | Case Manager/Care Coordinator | 100 Barberry Dr, Knoxville, TN 37912 | 2014-07-02 |
| 1265876940 | Annette Elise Long | Counselor | 4303 Central Ave.pike, Knoxville, TN 37912 | 2013-04-24 |
| 1346510393 | Lisa Taylor | Social Worker | 5800 Central Avenue Pike, Knoxville, TN 37912 | 2012-01-09 |
| 1447437447 | David Wesley Dickey IIi | Dentist | 5317 Clinton Hwy, Knoxville, TN 37912 | 2008-01-22 |
| 1962683573 | Eyexcel, Pllc | Optometrist | 715 Callahan Dr., Knoxville, TN 37912 | 2007-11-26 |
| 1538384995 | Chamberlain Chiropractic Clinic Inc | Chiropractor | 4409 Central Ave Pk, Suite 102, Knoxville, TN 37912 | 2007-04-13 |
| 1336232834 | Wesley Bruce Mclaughlin | Chiropractor | 2330 Merchants Dr., Knoxville, TN 37912 | 2006-10-02 |
| 1972073815 | Pell Enterprises | Home Health | 4303 Central Avenue Pike, Kno, TN 37912 | 2018-12-04 |
| Find all providers in zip 37912 | ||||
| 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 |
|---|---|---|---|---|
| 1598840613 | City of Knoxville | Ambulance | 305 S 3rd St, Knoxville, IA 50138-2255 | 2006-10-26 |
| 1942263728 | Crawford County Commissioners | Ambulance | 840 E Agency St, Knoxville, GA 31050-2049 | 2006-04-11 |
| 1659350809 | Professional Medical Transport | Ambulance | 1335 Callahan Dr., Knoxville, TN 37912-1204 | 2006-01-14 |
| 1760476659 | East Tennessee Children's Hospital Association, Inc. | Ambulance | 2018 W Clinch Ave, Knoxville, TN 37916-2301 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634557 | Englewood Rural Fire Department | Ambulance | 107 Carroll St, Englewood, TN 37329-3295 | 2020-06-20 |
| 1528693439 | Advantage Care Ems | Ambulance | 1309 Briarville Rd Ste 202, Madison, TN 37115-5132 | 2020-03-11 |
| 1669028551 | City of Martin Tennessee | Ambulance | 106 Neal St, Martin, TN 38237-2418 | 2019-08-15 |
| 1861900961 | First Call Ambulance LLC | Ambulance | 627 Old Hickory Blvd, Old Hickory, TN 37138-3162 | 2018-01-11 |
| 1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
| 1154849115 | Lifeline Ambulance Service, Inc. | Ambulance | 1110 Highway 33 S, New Tazewell, TN 37825-7027 | 2017-08-30 |
| 1417487786 | Firstcare Ambulance Service, LLC | Ambulance | 5155 Wilfong Rd, Memphis, TN 38134-5611 | 2017-06-19 |
| 1083158570 | Shelby County Government | Ambulance | 1075 Mullins Station Rd, Bldg. C, 2nd Floor, Memphis, TN 38134-7730 | 2016-12-19 |
| 1245789452 | Americare Emergency Medical Service, LLC | Ambulance | 1321 Murfreesboro Pike Ste 601, Nashville, TN 37217-2677 | 2016-09-28 |
| 1851844633 | Med Transport Memphis, LLC | Ambulance | 1005 Tillman St Ste 213, Memphis, TN 38112-2038 | 2016-07-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SHOALS AMBULANCE LLC.
| 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.