Greer County Special Ambulance Service District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

107EMS Issued in OK

Legal business name

GREER COUNTY SPECIAL AMBULANCE SERVICE DISTRICT

Practice address

121 E Jefferson St
Mangum, OK 73554-4242

Phone

(580) 782-5314

Fax

(580) 782-2648

NPI assigned

Apr 27, 2006

Last updated

Apr 19, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael Scott Augustine

Title

Administrator

Phone

(580) 782-5314

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Tax ID family

Greer County Special Ambulance Service District2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Greer County Special Ambulance Service District

  • Ambulance
  • Mangum, OK
  • NPI 1225307283
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1023075736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E JEFFERSON ST",
            "city": "MANGUM",
            "state": "OK",
            "postal_code": "735544242",
            "telephone_number": "580-782-5314",
            "fax_number": "580-782-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E JEFFERSON ST",
            "city": "MANGUM",
            "state": "OK",
            "postal_code": "735544242",
            "telephone_number": "580-782-5314",
            "fax_number": "580-782-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREER COUNTY SPECIAL AMBULANCE SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "AUGUSTINE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "580-782-5314",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "107EMS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elmer Shane Folster, BSW
• Kara Garrett
• Sandra Gonzales
• Katrina Marie Grady
• Karri Green
• Greer County Special Ambulance Service District
• Holly Hamon
• Brittany Hand, DDS
• Shelia Annette Holmes, BA
• Keith D Hutton, BS

• Land Ambulance in Mangum, OK
• Providers in Mangum, OK by specialty
• Land Ambulance in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.