Rush Springs EMS

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

RUSH SPRINGS EMS

Practice address

201 W Blakely
Rush Springs, OK 73082

Phone

(580) 476-3438

NPI assigned

Dec 19, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Wayne Trusty, NATIONALLY REGISTERE

Title

Operations Manager Rsems

Phone

(580) 476-6438

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1316923709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708",
            "city": "RUSH SPRINGS",
            "state": "OK",
            "postal_code": "730820708",
            "telephone_number": "580-476-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W BLAKELY",
            "city": "RUSH SPRINGS",
            "state": "OK",
            "postal_code": "73082",
            "telephone_number": "580-476-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH SPRINGS EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "TRUSTY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER RSEMS",
        "authorized_official_telephone_number": "580-476-6438",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NATIONALLY REGISTERE"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100819060A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ronald Wayne Secoy, PA-C

• All providers in Rush Springs, OK
• Land Ambulance in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.