City of Broken Arrow

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS023 Issued in OK

Legal business name

CITY OF BROKEN ARROW

Doing business as

Broken Arrow Fire Department

Practice address

220 S 1St St
Broken Arrow, OK 74012-4152

Phone

(918) 259-2531

Fax

(918) 259-8215

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Cynthia Sementelli Arnold

Title

Finance Director

Phone

(918) 259-2400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Broken Arrow Fire Department Doing business as

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1336260918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EMS SERVICES DEPT 1211",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741820001",
            "telephone_number": "918-259-2400",
            "fax_number": "918-259-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S 1ST ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124152",
            "telephone_number": "918-259-2531",
            "fax_number": "918-259-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BROKEN ARROW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "SEMENTELLI",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "918-259-2400"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "EMS023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100819630A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF OK",
            "identifier": "1336260918",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broken Arrow Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Broken Arrow Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samina Christopher, PH.D.
• Emily Chupp
• Hunter Jade Churchill
• Ciavarra Medical, LLC
• David E Ciavarra, D.C.
• City of Sapulpa
• Alexis Maria Clark
• Jackie Harold Clark Sr., O.D.
• Jessica Martha Jo Clark
• Rebecca Clark

• Land Ambulance in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Land Ambulance in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.