City of Elk City Office of City Clerk

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS383 Issued in OK

Legal business name

CITY OF ELK CITY OFFICE OF CITY CLERK

Practice address

303 W 5TH St
Elk City, OK 73644-5713

Phone

(580) 225-0500

Fax

(580) 225-3552

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Elesia L. Church

Title

Treasurer

Phone

(580) 225-3230

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1336220904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1100",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736481100",
            "telephone_number": "580-225-3230",
            "fax_number": "580-225-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W 5TH ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736445713",
            "telephone_number": "580-225-0500",
            "fax_number": "580-225-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ELK CITY OFFICE OF CITY CLERK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "ELESIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "580-225-3230"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "EMS383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200023510A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Jo Chambers
• Marco Chavez
• Kenna Chennault
• Chenessa Christine Chinn
• Tori Christian
• Lewis Wayne Forrest Clark, RPH
• Amanda Click
• Jimmy Clock
• Preston Clowdus
• Preston Craig Clowdus

• Land Ambulance in Elk City, OK
• Providers in Elk City, OK by specialty
• Land Ambulance in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.