Active NPI
Quapaw Tribal Business Committee
Doing business as Quapaw Tribal Fire & EMS
- Land Ambulance
- Quapaw, OK
National Provider Identifier
1033359575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 437
- Legal business name
- QUAPAW TRIBAL BUSINESS COMMITTEE
- Doing business as
- Quapaw Tribal Fire & EMS
- Practice address
- 5681 S. 630 Road
Quapaw, OK 74363-0765 - Phone
- (918) 542-1853
- Fax
- (918) 542-1853
- NPI assigned
- Feb 24, 2009
- Last updated
- Jan 9, 2020
- Organization subpart
- Yes
- Parent organization
- QUAPAW TRIBAL BUSINESS COMMITTEE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffery N Reeves
- Title
- Fire Chief/EMS Director
- Phone
- (918) 673-1709
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 437 | OK | Primary |
Addresses
Primary practice location
5681 S. 630 Road
Quapaw, OK 74363-0765
Mailing address
PO Box 765
Quapaw, OK 74363-0765
Phone (918) 542-1853
Other names 1
- Quapaw Tribal Fire & EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090618000597 | TX | Part B Supplier - Ambulance Service Supplier | 4789734476 | Practice locations: Miami, OK; Quapaw, OK |
National Provider Directory
National Provider Directory- Part of
- Quapaw Tribal Business Committee
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Addiction (Substance Use Disorder) Counselor
- Miami, OK
- NPI 1457311458
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578528000000",
"number": "1033359575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 765",
"city": "QUAPAW",
"state": "OK",
"postal_code": "743630765",
"telephone_number": "918-542-1853",
"fax_number": "918-542-4694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5681 S. 630 ROAD",
"city": "QUAPAW",
"state": "OK",
"postal_code": "743630765",
"telephone_number": "918-542-1853",
"fax_number": "918-542-1853"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUAPAW TRIBAL BUSINESS COMMITTEE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "QUAPAW TRIBAL BUSINESS COMMITTEE",
"enumeration_date": "2009-02-24",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A",
"authorized_official_last_name": "REEVES",
"authorized_official_first_name": "JEFFERY",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "FIRE CHIEF/EMS DIRECTOR",
"authorized_official_telephone_number": "918-673-1709"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "OK",
"license": "437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Quapaw Tribal Fire & EMS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Quapaw Tribal Fire & EMS",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Quapaw, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.