Active NPI
React Emergency Medical Service
- Land Ambulance
- Shawnee, OK
National Provider Identifier
1093760456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- EMS325
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120605000351 | OK | Part B Supplier - Ambulance Service Supplier | 2961666854 | Practice locations: Shawnee, OK |
National Provider Directory
National Provider DirectoryLocations
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.