Active NPI
City of Elmore City
- Ambulance
- Elmore City, OK
National Provider Identifier
1114124252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 186
- Legal business name
- CITY OF ELMORE CITY
- Practice address
- 301 W Lindsey St
Elmore City, OK 73433-9022 - Phone
- (405) 207-8006
- NPI assigned
- Jul 2, 2007
- Last updated
- Jun 9, 2026
- 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
- Jason Cook
- Title
- EMS Director
- Phone
- (405) 207-8006
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 186 | OK | Primary |
Addresses
Primary practice location
301 W Lindsey St
Elmore City, OK 73433-9022
Mailing address
PO Box 99
301 W Lindsey St
Elmore City, OK 73433-0099
Phone (405) 207-8006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100818210A | Medicaid | OK |
Other names 1
- EC EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040209000659 | OK | Part B Supplier - Ambulance Service Supplier | 6305730771 | Practice locations: Elmore City, OK |
National Provider Directory
National Provider Directory- Tax ID family
- City of Elmore City
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulance
- Elmore City, OK
- NPI 1780032086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780963200000",
"number": "1114124252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99",
"address_2": "301 W LINDSEY ST",
"city": "ELMORE CITY",
"state": "OK",
"postal_code": "734330099",
"telephone_number": "405-207-8006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W LINDSEY ST",
"city": "ELMORE CITY",
"state": "OK",
"postal_code": "734339022",
"telephone_number": "405-207-8006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF ELMORE CITY",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-02",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A",
"authorized_official_last_name": "COOK",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "EMS DIRECTOR",
"authorized_official_telephone_number": "405-207-8006"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "OK",
"license": "186",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100818210A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "EC EMS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Elmore City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.