Cross County Medical
Organization Active NPI Land Ambulance · Chickasha, OK
NPI 1124858337 · NPPES record last updated Jan 29, 2025
Key facts
- NPI
- 1124858337
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 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
- Organization subpart
- No
Authorized official
- Name
- Mathew Harrel
- Title
- Director
- Phone
- (580) 483-4499
Practitioners 1
-
Deacon Vice, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241010003333 | OK | Part B Supplier - Ambulance Service Supplier | 7719419191 | Practice locations: Chickasha, OK |
National Provider Directory
Locations
519 W Chickasha Ave
Chickasha, OK 73018
519 W Chickasha Ave
#A
Chickasha, OK 73018
Phone (405) 829-1881
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
519 W Chickasha Ave Ste a
Chickasha, OK 73018-2411
Mailing address
PO Box 2307
Lawton, OK 73502-2307
Phone (580) 829-1881
Other names
- Cross County Medical LLC
Other providers in Chickasha, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.