Organization Active NPI

Alfalfa County EMS, Inc

  • Land Ambulance
  • Helena, OK
National Provider Identifier
1073664801
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS239 Issued in OK
Legal business name
ALFALFA COUNTY EMS, INC
Practice address
123 West 3Rd St
Helena, OK 73741-0124
Phone
(580) 852-3258
Fax
(580) 852-3267
NPI assigned
Jan 16, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Roger D Unruh, PARAMEDIC
Title
Director
Phone
(580) 541-3672

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D1010895Alfalfa County EMS Inc123 West 3Rd Street, Helena, OK 73741Certificate of waiverMar 25, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20081003000257 OK Part B Supplier - Ambulance Service Supplier 8729156799 Practice locations: Helena, OK

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X EMS239 OK Primary

Addresses

NPPES NPI Registry

Primary practice location

123 West 3Rd St
Helena, OK 73741-0124

Mailing address

123 West 3Rd St
PO Box 36
Helena, OK 73741-0124
Phone (580) 852-3258

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1009050AMedicaidOK

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2009.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1073664801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 WEST 3RD ST",
            "address_2": "PO BOX 36",
            "city": "HELENA",
            "state": "OK",
            "postal_code": "737410124",
            "telephone_number": "580-852-3258",
            "fax_number": "580-852-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 WEST 3RD ST",
            "city": "HELENA",
            "state": "OK",
            "postal_code": "737410124",
            "telephone_number": "580-852-3258",
            "fax_number": "580-852-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFALFA COUNTY EMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "UNRUH",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "580-541-3672",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "EMS239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009050A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.