SHELBY COUNTY FIRE DEPARTMENT
NPI 1083158570
Ambulance - Land Transport in Memphis, TN

Active since December 19, 2016CLIA 44D1075124 · Waiver
1075 MULLINS STATION RD, BLDG. C, 2ND FLOOR, MEMPHIS, TN 38134(901) 222-8010(901) 373-4925 Get Directions Write a Review

NPPES record last updated: January 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 24, 2017, Dec 19, 2016 (2 updates tracked since 2016).

About Shelby County Fire Department NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELBY COUNTY FIRE DEPARTMENT (NPI 1083158570) is a healthcare organization registered as a land transport in Memphis, Tennessee and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through October 11, 2027 and lists Donald F Fletcher, Division Chief Of Ems, as its authorized official.

NPPES Registry Identity

NPI1083158570
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameSHELBY COUNTY GOVERNMENT
Location Address1075 MULLINS STATION RD, BLDG. C, 2ND FLOORMemphis, TN 38134-7730
Mailing Address1075 Mullins Station Rd, Bldg. C, 2nd FloorMemphis, TN 38134-7730 · (901) 222-8010 · Fax (901) 373-4925
Fax(901) 373-4925
Organization SubpartNo
Authorized OfficialDonald F FletcherDivision Chief Of Ems · (901) 222-8010
Enumeration DateDecember 19, 2016
Last NPPES UpdateJanuary 24, 20172 updates tracked since enumeration
NPI 1083158570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License Licensed in TN · EMS0000010206
1075 MULLINS STATION RD, Memphis, TN 38134

Other Names 1

Doing Business AsShelby County Fire Department

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D1075124

Shelby County Fire Department Division Of Ems · Memphis, TN
Active · expires Oct 11, 2027
CLIA Number44D1075124
Laboratory TypeOther
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorWilliam H. Earnest
Laboratory Phone(901) 379-7072
Laboratory LocationShelby County Fire Department Division Of Ems1075 Mullin Station Bldg C 2nd Fl, Memphis, TN 38134
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
21,194 services1,440 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
2,094 services1,384 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
103 services89 patients
Advanced life support, level 2 (als 2) A0433
Advanced Life Support Level 2 (ALS 2) is a medical service provided during emergencies. It involves advanced procedures like defibrillation, medication administration or endotracheal intubation by trained professionals to stabilize critical patients.
31 services30 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelby County Government's NPI number?

The NPI number for Shelby County Government is 1083158570. It was assigned to this organization in the NPPES registry on December 19, 2016. The provider is doing business as Shelby County Fire Department.

Where is Shelby County Government located?

Shelby County Government is located at 1075 Mullins Station Rd Bldg. C, 2nd Floor, Memphis, TN 38134. The listed phone number is (901) 222-8010.

What is Shelby County Government's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Shelby County Government hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1075124) is associated with this NPI, valid through October 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shelby County Government was last updated on January 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.