Emergency Medical Service a Trust

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS076 Issued in OK

Legal business name

EMERGENCY MEDICAL SERVICE A TRUST

Practice address

1213 E 20TH St
Okmulgee, OK 74447-6301

Phone

(918) 756-8563

Fax

(918) 756-8564

NPI assigned

Aug 23, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Irma D Walker

Title

Administrator

Phone

(918) 756-8563

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104818434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1056",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744471056",
            "telephone_number": "918-756-8563",
            "fax_number": "918-756-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 E 20TH ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476301",
            "telephone_number": "918-756-8563",
            "fax_number": "918-756-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY MEDICAL SERVICE A TRUST",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "IRMA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-756-8563",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "EMS076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Eaton
• Peter Werner Eckhardt, P.A.-C.
• Sheridan Eldridge
• Angel Ellis, FSP
• Nanelle Emarthla, REGISTERED NURSE
• Desirae Makiah Chawann Evans
• Melody Lynn Evans, FNP-C
• Tammy Michelle Evans, LPC
• Excel Therapy Specialists, LLC
• Eyecare Associates of South Tulsa PC (Unity Eye Centers Okmulgee)

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

• 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.