Active NPI
Community EMS LLC
- Land Ambulance
- Savanna, OK
National Provider Identifier
1174261010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- COMMUNITY EMS LLC
- Practice address
- 10 S Main Street
Savanna, OK 74565-0001 - Phone
- (918) 698-4845
- Fax
- (580) 628-2267
- NPI assigned
- May 20, 2022
- Last updated
- Oct 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerald Lee Sanford, EMTP
- Title
- Owner/Administrator
- Phone
- (918) 698-4845
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
10 S Main Street
Savanna, OK 74565-0001
Mailing address
PO Box 1548
McAlester, OK 74502-1548
Phone (918) 698-4845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221228001639 | OK | Part B Supplier - Ambulance Service Supplier | 2365812815 | Practice locations: Savanna, OK |
National Provider Directory
National Provider DirectoryLocations
150 E Elm St
Fairfax, OK 74637
Phone (539) 214-1041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727740800000",
"number": "1174261010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1548",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745021548",
"telephone_number": "918-698-4845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 S MAIN STREET",
"city": "SAVANNA",
"state": "OK",
"postal_code": "745650001",
"telephone_number": "918-698-4845",
"fax_number": "580-628-2267"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY EMS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-20",
"last_updated": "2024-10-01",
"certification_date": "2024-09-27",
"status": "A",
"authorized_official_last_name": "SANFORD",
"authorized_official_first_name": "JERALD",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "918-698-4845",
"authorized_official_credential": "EMTP"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savanna, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.