Mayes Emergency Services Trust Authority

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

265 Issued in OK

Legal business name

MAYES EMERGENCY SERVICES TRUST AUTHORITY

Practice address

4144 Redden
Pryor, OK 74361-9191

Phone

(918) 825-6825

Fax

(918) 825-6234

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Erik Dickover

Title

Director

Phone

(918) 825-6825

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MESTA 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.

• Wyatt Ross Phipps

  • Case Manager/Care Coordinator
  • Pryor, OK
  • NPI 1093636169
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1093736746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 REDDEN",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743619191",
            "telephone_number": "918-825-6825",
            "fax_number": "918-825-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 REDDEN",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743619191",
            "telephone_number": "918-825-6825",
            "fax_number": "918-825-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYES EMERGENCY SERVICES TRUST AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "DICKOVER",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "918-825-6825"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100819190A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MESTA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mayes County HMPN, LLC
• Mayes County HMPN, LLC
• Mayes County HMPN, LLC
• Mayes County HMPN, LLC
• Mayes County Speech Therapy Services P.L.L.C.
• Katelynn Meichelle Mayfield, BHC/BHA
• Aaron Maytubby, LPC
• Melissa McCann
• Alanna McCaskey
• Brielle McClain, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.