Major County Emergency Medical Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS054 Issued in OK

Legal business name

MAJOR COUNTY EMERGENCY MEDICAL SERVICE

Practice address

224 N Main St
Fairview, OK 73737-1623

Phone

(580) 227-2322

Fax

(580) 227-2322

NPI assigned

May 23, 2005

Last updated

Aug 22, 2020By 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

Mr. Greg Icke

Title

Director

Phone

(580) 227-2322

Specialties & licenses 1

Addresses

Other names 1

• Major County EMS Other name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144223199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511",
            "city": "FAIRVIEW",
            "state": "OK",
            "postal_code": "737370511",
            "telephone_number": "580-227-2322",
            "fax_number": "580-227-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N MAIN ST",
            "city": "FAIRVIEW",
            "state": "OK",
            "postal_code": "737371623",
            "telephone_number": "580-227-2322",
            "fax_number": "580-227-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJOR COUNTY EMERGENCY MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ICKE",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "580-227-2322",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "EMS054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Major County EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Land Ambulance in Fairview, OK
• Providers in Fairview, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.