NPIMap

Organization Active NPI

Beaver County Memorial Hospital

Doing business as Beaver County E.M.S.

  • Land Ambulance
  • Beaver, OK
National Provider Identifier
1285881557
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS029 Issued in OK
Legal business name
BEAVER COUNTY MEMORIAL HOSPITAL
Doing business as
Beaver County E.M.S.
Practice address
212 East 8TH Street
Beaver, OK 73932-0640
Phone
(580) 625-4551
Fax
(580) 625-4212
NPI assigned
Aug 19, 2008
Last updated
Aug 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Authorized official

Name
Brent Meyers
Title
Administrator
Phone
(580) 625-4551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X EMS029 OK Primary

Addresses

Primary practice location

212 East 8TH Street
Beaver, OK 73932-0640

Mailing address

212 East 8TH Street
Beaver, OK 73932-0640
Phone (580) 625-4551

Other identifiers 1

IdentifierTypeStateIssuer
100700760BMedicaidOK

Other names 1

  • Beaver County E.M.S. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beaver County Mem Hosp PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1285881557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 EAST 8TH STREET",
            "city": "BEAVER",
            "state": "OK",
            "postal_code": "739320640",
            "telephone_number": "580-625-4551",
            "fax_number": "580-625-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 EAST 8TH STREET",
            "city": "BEAVER",
            "state": "OK",
            "postal_code": "739320640",
            "telephone_number": "580-625-4551",
            "fax_number": "580-625-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "580-625-4551"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "EMS029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700760B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaver County E.M.S.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaver, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.