NPIMap

Organization Active NPI

Town of Velma

Doing business as DBA: Velma Community Ambulance

  • Basic Emergency Medical Technician
  • Velma, OK
National Provider Identifier
1154458149
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
EMS302 Issued in OK
Legal business name
TOWN OF VELMA
Doing business as
DBA: Velma Community Ambulance
Practice address
910 Main Street
Velma, OK 73491
Phone
(580) 444-2535
Fax
(580) 444-2522
NPI assigned
Feb 27, 2007
Last updated
Apr 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Mrs. Jil Rae Roberts
Title
Velma Town Clerk
Phone
(580) 444-3393

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 146N00000X EMS302 OK Primary
Ambulance 341600000X EMS302 OK

Addresses

Primary practice location

910 Main Street
Velma, OK 73491

Mailing address

PO Box 447
Town of Velma
Velma, OK 73491
Phone (580) 444-2535

Other identifiers 1

IdentifierTypeStateIssuer
100818290AMedicaidOK

Other names 1

  • DBA: Velma Community Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120202000384 OK Part B Supplier - Ambulance Service Supplier 9234396227 Practice locations: Velma, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1154458149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 447",
            "address_2": "TOWN OF VELMA",
            "city": "VELMA",
            "state": "OK",
            "postal_code": "73491",
            "telephone_number": "580-444-2535",
            "fax_number": "580-444-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 MAIN STREET",
            "city": "VELMA",
            "state": "OK",
            "postal_code": "73491",
            "telephone_number": "580-444-2535",
            "fax_number": "580-444-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF VELMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JIL",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "VELMA TOWN CLERK",
        "authorized_official_telephone_number": "580-444-3393",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": "OK",
            "license": "EMS302",
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OK",
            "license": "EMS302",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100818290A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA: Velma Community Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Velma, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.