City of Waynoka

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS004 Issued in OK

Legal business name

CITY OF WAYNOKA

Practice address

201 E Cecil St
Waynoka, OK 73860-1233

Phone

(580) 824-2261

Fax

(580) 824-3000

NPI assigned

May 24, 2005

Organization subpart

No

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

Authorized official

Name

Scott Smiley

Title

Director

Phone

(580) 824-2261

Specialties & licenses 1

Addresses

Other names 1

• Waynoka Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Jeanice Bradford

  • Case Manager/Care Coordinator
  • Waynoka, OK
  • NPI 1285513572
  NPD

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043213002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E CECIL ST",
            "city": "WAYNOKA",
            "state": "OK",
            "postal_code": "738601233",
            "telephone_number": "580-824-2261",
            "fax_number": "580-824-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E CECIL ST",
            "city": "WAYNOKA",
            "state": "OK",
            "postal_code": "738601233",
            "telephone_number": "580-824-2261",
            "fax_number": "580-824-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WAYNOKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMILEY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "580-824-2261"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "EMS004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waynoka Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Milissa A Britt
• Mackenzie Rae Brune, PRSS
• Diana Lynn Burrows
• Patricia Byrd
• Brittany Michelle Campbell
• Jordan Cremers
• Marsha Lynnette Cunningham
• Jerry Lee Dennis, D.PH.
• Ashley Nicole Ferguson, BS IN SOCIAL WORK
• Clarissa M Fifield, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.