City of Chickasha
Organization Active NPI Land Ambulance · Chickasha, OK
NPI 1366446254 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1366446254
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- EMS007 (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
- Organization subpart
- No
Authorized official
- Name
- Mr. Ronnie Kessler
- Title
- Fire Chief
- Phone
- (405) 222-6035
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070710000921 | OK | Part B Supplier - Ambulance Service Supplier | 3072613769 | Practice locations: Chickasha, OK |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | EMS007 | OK | Yes |
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
Other providers in Chickasha, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.