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JACKSON COUNTY AMBULANCE SERVICE
NPI 1861496341
Ambulance - Land Transport in Gainesboro, TN

Active since June 13, 2005CLIA 44D0951350 · Waiver
316 N. MURRAY STREET, GAINESBORO, TN 38562(931) 268-2556(931) 268-3044 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 15, 2021, Mar 20, 2020 (2 updates tracked since 2020).

About Jackson County Ambulance Service NPPES

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

JACKSON COUNTY AMBULANCE SERVICE (NPI 1861496341) is a healthcare organization registered as a land transport in Gainesboro, Tennessee and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through September 15, 2026 and lists Jeffery Keith Bean, Director, as its authorized official.

NPPES Registry Identity

NPI1861496341
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameJACKSON COUNTY COURT HOUSE EXECUTIVE
Location Address316 N. MURRAY STREETGainesboro, TN 38562
Mailing AddressPo Box 9150Paducah, KY 42002-9150 · (270) 744-9600 · Fax (270) 744-8642
Phone(931) 268-2556
Fax(931) 268-3044
Organization SubpartNo
Authorized OfficialJeffery Keith BeanDirector · (931) 268-2556
Enumeration DateJune 13, 2005
Last NPPES UpdateJune 15, 20212 updates tracked since enumeration
NPPES CertifiedJune 15, 2021
✔ NPI 1861496341 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 · EMS0000004401
316 N. MURRAY STREET, Gainesboro, TN 38562
Open in Google Maps ↗

Other Names 1

Doing Business AsJackson County Ambulance Service

Other Identifiers 1

Medicaid3525078TN

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 44D0951350

Jackson County Ambulance Service · Gainesboro, TN
Active · expires Sep 15, 2026
CLIA Number44D0951350
Laboratory TypeOther
Certificate Effective DateSeptember 16, 2024
Certificate Expiration DateSeptember 15, 2026
Laboratory DirectorJim W. Morgan
Laboratory Phone(931) 268-2556
Laboratory LocationJackson County Ambulance Service316 N Murray St, Gainesboro, TN 38562
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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.
8,126 services219 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.
246 services163 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.
82 services70 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.
77 services49 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.
13 services13 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 Jackson County Court House Executive's NPI number?

The NPI number for Jackson County Court House Executive is 1861496341. It was assigned to this organization in the NPPES registry on June 13, 2005. The provider is doing business as Jackson County Ambulance Service.

Where is Jackson County Court House Executive located?

Jackson County Court House Executive is located at 316 N. Murray Street, Gainesboro, TN 38562. The listed phone number is (931) 268-2556.

What is Jackson County Court House Executive's specialty?

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

Does Jackson County Court House Executive hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0951350) is associated with this NPI, valid through September 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jackson County Court House Executive was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.