Organization Active NPI

City of Coweta

  • Land Ambulance
  • Coweta, OK
National Provider Identifier
1316005945
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS131 Issued in OK
Legal business name
CITY OF COWETA
Doing business as
City of Coweta Ambulance Service
Practice address
214 N Broadway
Coweta, OK 74429-2602
Phone
(918) 486-2189
Fax
(918) 486-5366
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jimmy D Treat
Title
Director
Phone
(918) 486-2189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X EMS131 OK Primary

Addresses

Primary practice location

214 N Broadway
Coweta, OK 74429-2602

Mailing address

PO Box 850
Coweta, OK 74429-0850
Phone (918) 486-2189

Other names 1

  • City of Coweta Ambulance Service Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081210000430 OK Part B Supplier - Ambulance Service Supplier 6305907254 Practice locations: Coweta, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D1008571City of Coweta Fire Department EMS214 N Broadway, Coweta, OK 74429Certificate of waiverJan 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
Coweta Ambulance Servic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

214 N Broadway
Coweta, OK 74429
Phone (918) 279-7239

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316005945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744290850",
            "telephone_number": "918-486-2189",
            "fax_number": "918-486-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N BROADWAY",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744292602",
            "telephone_number": "918-486-2189",
            "fax_number": "918-486-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF COWETA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TREAT",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "918-486-2189",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "EMS131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Coweta Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coweta, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.