City of Skiatook

Primary specialty

AmbulanceTaxonomy code 341600000X

License

024 Issued in OK

Legal business name

CITY OF SKIATOOK

Practice address

112 N a St
Skiatook, OK 74070-1100

Phone

(918) 396-3580

NPI assigned

Feb 1, 2007

Last updated

Mar 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chuck Lewis Williamson

Title

EMS Director

Phone

(918) 396-3580

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Tax ID family

City of Skiatook2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Skiatook Fire Department

  • Land Ambulance
  • Skiatook, OK
  • NPI 1043206444
  NPD tax ID

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1346388790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740700399",
            "telephone_number": "918-396-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N A ST",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740701100",
            "telephone_number": "918-396-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SKIATOOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "918-396-3580"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OK",
            "license": "024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100820010A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Bushyhead
• Scott Michael Carlson, O.D.
• Alicia G Carner, GPT
• Hanna Evaline Chomosh
• Ciec Investments LLC (Surg4life)
• Coulter Louis Clark, MED, ATC, LAT
• Amanda Conway-Shaw, COTA
• Brenda G. Cox II, HABILITATION SPECIAL
• Kimberly K Creekmore, SLP
• Ashlyn Crutchfield

• Ambulance in Skiatook, OK
• Providers in Skiatook, OK by specialty
• Ambulance in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.