Active NPI
City of Coweta
- Land Ambulance
- Coweta, OK
National Provider Identifier
1316005945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- EMS131
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081210000430 | OK | Part B Supplier - Ambulance Service Supplier | 6305907254 | Practice locations: Coweta, OK |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D1008571 | City of Coweta Fire Department EMS | Certificate of waiver | Jan 22, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Coweta Ambulance Servic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Coweta, OK
- NPI 1902987654
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.