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KNOXVILLE-KNOX COUNTY COMMUNITY ACTION COMMITTEE NPI 1265589964


NPI Information

NPI: 1265589964
Provider Name: KNOXVILLE-KNOX COUNTY COMMUNITY ACTION COMMITTEE
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization

CLIA Number: 44D1079531

Address:
2247 WESTERN AVE
KNOXVILLE, TN
ZIP 37921
Phone: (865) 524-0319
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KNOXVILLE-KNOX COUNTY COMMUNITY ACTION COMMITTEE is a non emergency medical transport van in Knoxville, TN. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. KNOXVILLE-KNOX COUNTY COMMUNITY ACTION COMMITTEE NPI is 1265589964. The provider is registered as an organization entity type.

The provider's business location address is:

2247 WESTERN AVE
KNOXVILLE, TN
ZIP 37921-756
Phone: (865) 524-0319
Fax: (865) 546-9013

The provider's authorized official is Barbara Kelly .
The authorized official title is Executive Director and has the following contact phone number (865) 546-3500.

The CLIA number assigned to this NPI record is 44D1079531 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/4/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1343900000XNon-emergency Medical Transport (VAN)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15440675MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.