Cross County Medical

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CROSS COUNTY MEDICAL

Practice address

519 W Chickasha Ave Ste a
Chickasha, OK 73018-2411

Phone

(580) 483-4499

NPI assigned

Aug 2, 2024

Last updated

Jan 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mathew Harrel

Title

Director

Phone

(580) 483-4499

Specialties & licenses 1

Addresses

Other names 1

• Cross County Medical LLC Former legal business name

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, and the practitioner matching its NPPES authorized official.

• Deacon Vice, D.O.

  • Emergency Medicine Physician
  • Oklahoma City, OK
  • NPI 1073934352
  NPD

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1124858337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2307",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735022307",
            "telephone_number": "580-829-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W CHICKASHA AVE STE A",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182411",
            "telephone_number": "580-483-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS COUNTY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "HARREL",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "580-483-4499"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cross County Medical LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Cross County Medical LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mitchell D Coppedge, MD
• Raymond L Cornelison, MD
• Kayla Dawhn Cornett
• Kamber Lauren Covey, M.S.
• Amy Janelle Craig, PMHNP-BC
• Heather Crowder
• Bill Bruce Crowell, M.D.
• Emily Cashae Denise Cuadra
• Madalyn Paige Cummins
• Dana Terry PC (Motionworks Physical Therapy)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.