Kirk'S Emergency Medical Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS003 Issued in OK

Legal business name

KIRK'S EMERGENCY MEDICAL SERVICE INC

Practice address

1616 SW F Ave
Lawton, OK 73501-4755

Phone

(580) 355-6500

Fax

(580) 355-6532

NPI assigned

Jun 15, 2006

Organization subpart

No

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

Authorized official

Name

Jackie McDonald

Title

Billing Manager

Phone

(580) 355-6500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kirk's Emergency Service Former legal business name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1235173089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 SW F AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014755",
            "telephone_number": "580-355-6500",
            "fax_number": "580-355-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 SW F AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014755",
            "telephone_number": "580-355-6500",
            "fax_number": "580-355-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK'S EMERGENCY MEDICAL SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "580-355-6500"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "EMS003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100818140A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kirk's Emergency Service",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jamari King
• Kody King, D.O.
• Kingdom Medical Equipment LLC
• Clint Forrest Kirk, DO
• Veronica Antonia Kirk
• Benjamin Matthew Kirkland, DO
• Ebone Kirven
• April S Kittel
• Emily Sarah Kitzrow, PTA
• Mark Andrew Klaassen, DO

• Land Ambulance in Lawton, OK
• Providers in Lawton, OK by specialty
• Land Ambulance in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.