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SULLIVAN COUNTY EMS
NPI 1154320687
Ambulance in Blountville, TN

Active since July 18, 2005
3193 HIGHWAY 126, BLOUNTVILLE, TN 37617(423) 323-6471(423) 279-2813 Get Directions Write a Review

NPPES record last updated: June 8, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Sullivan County Ems NPPES

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

SULLIVAN COUNTY EMS (NPI 1154320687) is a healthcare organization registered as an ambulance in Blountville, Tennessee and active in the NPI registry since July 2005. The organization lists Jim Perry, Chief, as its authorized official.

NPPES Registry Identity

NPI1154320687
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameSULLIVAN COUNTY EMS
Location Address3193 HIGHWAY 126Blountville, TN 37617
Mailing AddressPo Box 398Blountville, TN 37617 · (423) 323-6474 · Fax (423) 279-2813
Phone(423) 323-6471
Fax(423) 279-2813
Organization SubpartNo
Authorized OfficialJim PerryChief · (423) 323-6474
Enumeration DateJuly 18, 2005
Last NPPES UpdateJune 8, 2016
✔ NPI 1154320687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in TN · EMS0000008201
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
3193 HIGHWAY 126, Blountville, TN 37617
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Other Identifiers 5

Medicare ID-Type Unspecified3520413TN · Medicare Provider #
Medicaid3520413TN
Medicaid100021464TN
Medicaid002007565TN
Medicare ID-Type Unspecified590080191TN · Rr Medicare Prov#

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 44D0707605

Sullivan County Emergency Medical Serv · Blountville, TN
Expired · Aug 31, 2026
CLIA Number44D0707605
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMark A. Vance
Laboratory Phone(423) 323-6471
Laboratory LocationSullivan County Emergency Medical Serv3193 Highway 126, Blountville, TN 37617
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

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.
29,365 services1,766 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.
1,285 services947 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
1,100 services771 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.
849 services641 patients
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426
Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.
145 services135 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.
51 services49 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 Sullivan County Ems's NPI number?

The NPI number for Sullivan County Ems is 1154320687. It was assigned to this organization in the NPPES registry on July 18, 2005.

Where is Sullivan County Ems located?

Sullivan County Ems is located at 3193 Highway 126, Blountville, TN 37617. The listed phone number is (423) 323-6471.

What is Sullivan County Ems's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

When was this NPI record last updated?

The NPPES record for Sullivan County Ems was last updated on June 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.