NPIMap

Organization Active NPI

Marshall County Ambulance Service

Doing business as Marshall County EMS

  • Land Ambulance
  • Madill, OK
National Provider Identifier
1386600658
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MARSHALL COUNTY AMBULANCE SERVICE
Doing business as
Marshall County EMS
Practice address
Number Four Hospital Drive
Madill, OK 73446-0707
Phone
(580) 795-7541
Fax
(580) 795-3629
NPI assigned
Apr 25, 2006
Last updated
Apr 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Mrs. Debra Sue Rogers
Title
Office Manager
Phone
(580) 795-7541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X OK Primary

Addresses

Primary practice location

Number Four Hospital Drive
Madill, OK 73446-0707

Mailing address

PO Box 707
Number 4 Hospital Dr
Madill, OK 73446-0707
Phone (580) 795-7541

Other identifiers 2

IdentifierTypeStateIssuer
730725620001OtherOKBLUE CROSS BLUE SHEILD
100820160AMedicaidOK

Other names 1

  • Marshall County EMS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1386600658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 707",
            "address_2": "NUMBER 4 HOSPITAL DR",
            "city": "MADILL",
            "state": "OK",
            "postal_code": "734460707",
            "telephone_number": "580-795-7541",
            "fax_number": "580-795-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NUMBER FOUR HOSPITAL DRIVE",
            "city": "MADILL",
            "state": "OK",
            "postal_code": "734460707",
            "telephone_number": "580-795-7541",
            "fax_number": "580-795-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL COUNTY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "580-795-7541",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "730725620001",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100820160A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshall County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madill, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.