Organization Active NPI

City of Chickasha

  • Land Ambulance
  • Chickasha, OK
National Provider Identifier
1366446254
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS007 Issued in OK
Legal business name
CITY OF CHICKASHA
Practice address
101 N 6TH St
Chickasha, OK 73018-2407
Phone
(405) 222-6033
Fax
(405) 222-6034
NPI assigned
Jun 8, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ronnie Kessler
Title
Fire Chief
Phone
(405) 222-6035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X EMS007 OK Primary

Addresses

Primary practice location

101 N 6TH St
Chickasha, OK 73018-2407

Mailing address

101 N 6TH St
Chickasha, OK 73018-2407
Phone (405) 222-6033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070710000921 OK Part B Supplier - Ambulance Service Supplier 3072613769 Practice locations: Chickasha, OK

National Provider Directory

National Provider Directory

Locations

101 N 6th St
Chickasha, OK 73018
Phone (405) 222-6033

1700 Harly Day Dr
Chickasha, OK 73018
Phone (405) 222-6038

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366446254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N 6TH ST",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182407",
            "telephone_number": "405-222-6033",
            "fax_number": "405-222-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 6TH ST",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182407",
            "telephone_number": "405-222-6033",
            "fax_number": "405-222-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CHICKASHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "405-222-6035",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "EMS007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chickasha, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.