Blaine County 522 Board

Primary specialty

AmbulanceTaxonomy code 341600000X

License

EMS008 Issued in OK

Legal business name

BLAINE COUNTY 522 BOARD

Doing business as

Okeene EMS

Practice address

511 W Oklahoma
Okeene, Ok, OK 73763-0508

Phone

(580) 822-1131

NPI assigned

Aug 11, 2006

Last updated

May 3, 2022By 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

Kathrine Leona Biggs Boden

Title

Director

Phone

(580) 822-1131

Specialties & licenses 1

Addresses

Other names 1

• Okeene EMS Doing business as

Locations

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1174534325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 508",
            "city": "OKEENE",
            "state": "OK",
            "postal_code": "737630508",
            "telephone_number": "580-822-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W OKLAHOMA",
            "city": "OKEENE, OK",
            "state": "OK",
            "postal_code": "737630508",
            "telephone_number": "580-822-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAINE COUNTY 522 BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2022-05-03",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "BIGGS BODEN",
        "authorized_official_first_name": "KATHRINE",
        "authorized_official_middle_name": "LEONA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "580-822-1131"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OK",
            "license": "EMS008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Okeene EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Okeene EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.