City of Kingfisher
Organization Active NPI Land Ambulance · Kingfisher, OK
NPI 1215930359 · NPPES record last updated Sep 30, 2025
Key facts
- NPI
- 1215930359
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- EMS147 (OK)
- Legal business name
- CITY OF KINGFISHER
- Practice address
- 415 S Main St
Kingfisher, OK 73750-3239 - Phone
- (405) 375-4070
- Fax
- (405) 375-3374
- NPI assigned
- May 23, 2005
- Organization subpart
- No
Authorized official
- Name
- Anita James
- Title
- City Treasurer
- Phone
- (405) 375-3705
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100714000340 | OK | Part B Supplier - Ambulance Service Supplier | 2365343852 | Practice locations: Kingfisher, OK |
National Provider Directory
Locations
415 S Main St
Kingfisher, OK 73750
Phone (405) 375-4070
301 N Main St
Kingfisher, OK 73750
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | EMS147 | OK | Yes |
Addresses
Primary practice location
415 S Main St
Kingfisher, OK 73750-3239
Mailing address
301 N Main St
Kingfisher, OK 73750-2749
Phone (405) 375-4070
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590120241 | Other | OK | RAILROAD MEDICARE |
| 100819840A | Medicaid | OK |
Other names
- Kingfisher Ambulance Service
- Kingfisher Fire Department
Other providers in Kingfisher, OK
- Cardiac and Pulmonary Rehabilitation Clinic LLC
- Diane Castellanos
- Amy R Cavner
- Mary Chance
- Chisholm Medical Equipment
- Compassion Clinic Pharmacy
- Jimmy Lee Couch
- Countrywood Assisted Living & Memory Care, LLC
- Benjamin Nicolas Cuevas
- Kendra Lynn Daffern
All providers in Kingfisher, OK · Land Ambulance in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.