Organization Active NPI

City of Owasso

  • Land Ambulance
  • Owasso, OK
National Provider Identifier
1154406460
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS006 Issued in OK
Legal business name
CITY OF OWASSO
Practice address
111 N Main St
Owasso, OK 74055-2923
Phone
(800) 538-8278
Fax
(580) 628-2273
NPI assigned
Oct 26, 2006
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Angela Hess
Title
Finance Supervisor
Phone
(800) 538-8278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X EMS006 OK Primary

Addresses

Primary practice location

111 N Main St
Owasso, OK 74055-2923

Mailing address

PO Box 180
Owasso, OK 74055-0180
Phone (800) 538-8278

Other identifiers 1

IdentifierTypeStateIssuer
100820230AMedicaidOK

Other names 1

  • Owasso Ambulance Service Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100520000905 OK Part B Supplier - Ambulance Service Supplier 4789713264 Practice locations: Collinsville, OK; Owasso, OK

National Provider Directory

National Provider Directory

Locations

11933 E 116th St N
Collinsville, OK 74021
Phone (918) 272-5253

8901 N Garnett Rd
Owasso, OK 74055
Phone (918) 272-5253

111 N Main St
Owasso, OK 74055

207 S Cedar St
Owasso, OK 74055
Phone (918) 272-2523

9990 N 145th East Ave
Owasso, OK 74055
Phone (918) 272-5253

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1154406460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740550180",
            "telephone_number": "800-538-8278",
            "fax_number": "580-628-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N MAIN ST",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552923",
            "telephone_number": "800-538-8278",
            "fax_number": "580-628-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF OWASSO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "FINANCE SUPERVISOR",
        "authorized_official_telephone_number": "800-538-8278"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "EMS006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100820230A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owasso Ambulance Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.