Provider Demographics
NPI:1740016328
Name:COVENANT HEALTH EMS, LLC
Entity type:Organization
Organization Name:COVENANT HEALTH EMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF EMS
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCCREARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-617-9328
Mailing Address - Street 1:550 FORT SUMMIT WAY FL 3
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37915-2146
Mailing Address - Country:US
Mailing Address - Phone:865-331-0014
Mailing Address - Fax:
Practice Address - Street 1:550 FORT SUMMIT WAY FL 3
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37915-2146
Practice Address - Country:US
Practice Address - Phone:865-331-0014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty