Country Corner Fire District Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS462 Issued in OK

Legal business name

COUNTRY CORNER FIRE DISTRICT INC

Practice address

6983 W 113TH St N
Sperry, OK 74073-4008

Phone

(918) 695-7323

NPI assigned

Feb 7, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Jim M Massey II

Title

Fire Chief

Phone

(918) 695-7323

Specialties & licenses 1

Addresses

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": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1346512399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6983 W 113TH ST N",
            "city": "SPERRY",
            "state": "OK",
            "postal_code": "740734008",
            "telephone_number": "918-695-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6983 W 113TH ST N",
            "city": "SPERRY",
            "state": "OK",
            "postal_code": "740734008",
            "telephone_number": "918-695-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY CORNER FIRE DISTRICT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "918-695-7323",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "EMS462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 918 Dentist of Sperry, PLLC
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• Makenzie Taylor Goins
• Robert Scott Kirschner, M.ED. CCC-SLP
• Amber Martin
• Victoria D McDaniel-Tracy, LCSW

• Land Ambulance in Sperry, OK
• Providers in Sperry, OK by specialty
• Land Ambulance in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.