CMS-1500 Box 24J / 33a • NPI
1124164074
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
343900000X
Licensed & Credentialed Non-emergency Medical Transport (VAN)
Box 32 Service Location & ZIP+4
107 ARMORY ST, CENTERVILLE, TN, 37033-1517
✓ 9-Digit EDI 837 ZIP+4 (37033-1517)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1124164074 (HICKMAN COUNTY SENIOR CITIZENS, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1124164074 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | HICKMAN COUNTY SENIOR CITIZENS, INC. |
| Plain-English Specialty | Licensed & Credentialed Non-emergency Medical Transport (VAN) NUCC Code: 343900000X (Non-emergency Medical Transport (VAN)) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 107 ARMORY ST, CENTERVILLE, TN, 37033-1517 |
| Practice Telephone / Fax | Tel: (931) 729-2115 | Fax: (931) 729-5486 |
| Administrative Mailing Address | 107 ARMORY ST, CENTERVILLE, TN, 37033-1517 |
| Enumeration & Last Sync | Enumerated: 2007-01-29 | CMS Record Updated: 2020-08-22 |
| Authorized Official | BARBARA DERRYBERRY (Director) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (343900000X)
What Does Taxonomy Code 343900000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 343900000X translates to:
"Licensed & Credentialed Non-emergency Medical Transport (VAN)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (HICKMAN COUNTY SENIOR CITIZENS, INC.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
343900000X — Non-emergency Medical Transport (VAN)Plain English: Licensed & Credentialed Non-emergency Medical Transport (VAN) | State: TN | License: T0000155 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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