NPIMap

Organization Active NPI

City of New Cordell

Doing business as Cordell EMS

  • Land Ambulance
  • Cordell, OK
National Provider Identifier
1366829848
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS484 Issued in OK
Legal business name
CITY OF NEW CORDELL
Doing business as
Cordell EMS
Practice address
203 E Clay St
Cordell, OK 73632-5405
Phone
(580) 660-0280
Fax
(580) 832-3449
NPI assigned
May 4, 2015
Last updated
May 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
James Glover
Title
EMS Director
Phone
(580) 660-0280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X EMS484 OK Primary

Addresses

Primary practice location

203 E Clay St
Cordell, OK 73632-5405

Mailing address

203 E Clay St
Cordell, OK 73632-5405

Other names 1

  • Cordell EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150728003996 OK Part B Supplier - Ambulance Service Supplier 1951615533 Practice locations: Cordell, OK

National Provider Directory

National Provider Directory

Locations

101 E Main St
Cordell, OK 73632

203 E Clay St
Cordell, OK 73632
Phone (580) 505-0096

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1366829848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E CLAY ST",
            "city": "CORDELL",
            "state": "OK",
            "postal_code": "736325405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E CLAY ST",
            "city": "CORDELL",
            "state": "OK",
            "postal_code": "736325405",
            "telephone_number": "580-660-0280",
            "fax_number": "580-832-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NEW CORDELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "580-660-0280"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "EMS484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cordell EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cordell, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.