VAN BUREN COUNTY COURTHOUSE SQ NPI 1740261981

NPI Information

NPI: 1740261981
Provider Name: VAN BUREN COUNTY COURTHOUSE SQ
Classification: Ambulance - 3416L0300X
Specialization: Land Transport
Entity Type: Organization
Doing Business As: VAN BUREN COUNTY EMS
CLIA Number: 44D2237002
Address: 112 GENERATIONS DR
SPENCER, TN
ZIP 38585
Phone: (931) 946-8181

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NPI Details

VAN BUREN COUNTY COURTHOUSE SQ is a land transport ambulance in Spencer, TN. VAN BUREN COUNTY COURTHOUSE SQ NPI is 1740261981. The provider is registered as an organization entity type.
The provider Is Doing Business As Van Buren County Ems.

The provider's business location address is:

112 GENERATIONS DR
SPENCER, TN
ZIP 38585-027
Phone: (931) 946-8181
Fax: (931) 946-8182

The provider's authorized official is Tiwanna Bricker .
The authorized official title is Director and has the following contact phone number (931) 946-8181.

The CLIA number assigned to this NPI record is 44D2237002 - school/student health service with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Ground mileage, per statute mile (HCPCS:A0425)
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)
Ambulance service, basic life support, non-emergency transport, (bls) (HCPCS:A0428)
Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)

The enumeration date for this NPI number is 11/6/2005 and was last updated on 1/18/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	EMS0000009996	TENNESSEE	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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3574249	MEDICARE ID-TYPE UNSPECIFIED		MEDICARE PROVIDER NO.
2	4121233	OTHER	TENNESSEE	BCBS EMERGENCY
3	3129083	OTHER	TENNESSEE	BCBS NON-EMERGENCY

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: 11/21/2025

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