Organization Active NPI

React Emergency Medical Service

  • Land Ambulance
  • Shawnee, OK
National Provider Identifier
1093760456
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS325 Issued in OK
Legal business name
REACT EMERGENCY MEDICAL SERVICE
Practice address
2316 Airport Dr
Shawnee, OK 74804-2624
Phone
(405) 878-5880
Fax
(405) 878-5887
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jana Sue Jacobs
Title
Office Manager
Phone
(405) 878-5880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X EMS325 OK Primary

Addresses

Primary practice location

2316 Airport Dr
Shawnee, OK 74804-2624

Mailing address

PO Box 3700
Shawnee, OK 74802-3700
Phone (405) 878-5880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120605000351 OK Part B Supplier - Ambulance Service Supplier 2961666854 Practice locations: Shawnee, OK

National Provider Directory

National Provider Directory

Locations

2316 Airport Dr
Shawnee, OK 74804
Phone (405) 878-5880

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093760456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3700",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748023700",
            "telephone_number": "405-878-5880",
            "fax_number": "405-878-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 AIRPORT DR",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748042624",
            "telephone_number": "405-878-5880",
            "fax_number": "405-878-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACT EMERGENCY MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JANA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-878-5880",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "EMS325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

  • 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.