Organization Active NPI

City of Hartshorne

  • Land Ambulance
  • Hartshorne, OK
National Provider Identifier
1043419286
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS047 Issued in OK
Legal business name
CITY OF HARTSHORNE
Practice address
1101 Pennsylvania Ave
Hartshorne, OK 74547-3833
Phone
(918) 297-2544
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Dawn Dunkin
Title
City Clerk
Phone
(918) 297-2544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X EMS047 OK Primary

Addresses

Primary practice location

1101 Pennsylvania Ave
Hartshorne, OK 74547-3833

Mailing address

1101 Pennsylvania Ave
Hartshorne, OK 74547-3833
Phone (918) 297-2544

Other identifiers 1

IdentifierTypeStateIssuer
100820210AMedicaidOK

National Provider Directory

National Provider Directory

Locations

1101 Pennsylvania Ave
Hartshorne, OK 74547
Phone (918) 297-2544

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1043419286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PENNSYLVANIA AVE",
            "city": "HARTSHORNE",
            "state": "OK",
            "postal_code": "745473833",
            "telephone_number": "918-297-2544",
            "fax_number": "918-297-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PENNSYLVANIA AVE",
            "city": "HARTSHORNE",
            "state": "OK",
            "postal_code": "745473833",
            "telephone_number": "918-297-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF HARTSHORNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "DUNKIN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CITY CLERK",
        "authorized_official_telephone_number": "918-297-2544"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "EMS047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100820210A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartshorne, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.