SOUTHEAST AMBULANCE LLC NPI 1861551731

NPI Information

  • NPI: 1861551731
  • Provider Name: SOUTHEAST AMBULANCE, LLC
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • Address: 2511 RIVERSIDE DR
    SUITE C-3
    CHATTANOOGA, TN
    ZIP 37406
  • Phone: (423) 624-9990

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NPI Details

SOUTHEAST AMBULANCE, LLC is a land transport ambulance in Chattanooga, TN. SOUTHEAST AMBULANCE, LLC NPI is 1861551731. The provider is registered as an organization entity type.

The provider's business location address is:

2511 RIVERSIDE DR
SUITE C-3
CHATTANOOGA, TN
ZIP 37406-700
Phone: (423) 624-9990

The provider's authorized official is Jimmy E Henderlight .
The authorized official title is Managing Member and has the following contact phone number (423) 624-9990.

The enumeration date for this NPI number is 12/7/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand TransportEMS0000010029TENNESSEEYes

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
13474827MEDICAIDTENNESSEE

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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