Organization Active NPI

City of Picher

Doing business as Picher Fire & EMS

  • Land Ambulance
  • Picher, OK
National Provider Identifier
1336294099
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
419 Issued in OK
Legal business name
CITY OF PICHER
Doing business as
Picher Fire & EMS
Practice address
213 Carl Patterson Ave
Picher, OK 74360-1609
Phone
(918) 673-1709
Fax
(918) 673-2724
NPI assigned
Jan 24, 2007
Last updated
Feb 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Authorized official

Name
Jeff Reeves
Title
EMS Director
Phone
(918) 673-1709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 419 OK Primary

Addresses

Primary practice location

213 Carl Patterson Ave
Picher, OK 74360-1609

Mailing address

101 N Connell Ave
Picher, OK 74360-1505
Phone (918) 673-1709

Other identifiers 2

IdentifierTypeStateIssuer
100819930AMedicaidOK
300522236OtherOKBLUE CROSS BLUE SHIELD

Other names 1

  • Picher Fire & EMS Doing business as

National Provider Directory

National Provider Directory

Locations

101 N Connell Ave
Picher, OK 74360

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1336294099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N CONNELL AVE",
            "city": "PICHER",
            "state": "OK",
            "postal_code": "743601505",
            "telephone_number": "918-673-1709",
            "fax_number": "918-673-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 CARL PATTERSON AVE",
            "city": "PICHER",
            "state": "OK",
            "postal_code": "743601609",
            "telephone_number": "918-673-1709",
            "fax_number": "918-673-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PICHER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "918-673-1709"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100819930A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "300522236",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Picher Fire & EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Picher, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.