Active NPI
Cimarron County Ambulance
- Land Ambulance
- Boise City, OK
National Provider Identifier
1396846523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- EMS001
- Legal business name
- CIMARRON COUNTY AMBULANCE
- Practice address
- 18 NE Square
Boise City, OK 73933 - Phone
- (800) 538-8278
- Fax
- (580) 628-2273
- NPI assigned
- Sep 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Albert Lee Overbay
- Title
- Administrator
- Phone
- (580) 544-3021
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | EMS001 | OK | Primary |
Addresses
Primary practice location
18 NE Square
Boise City, OK 73933
Mailing address
PO Box 367
Boise City, OK 73933-0367
Phone (800) 538-8278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100820100A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081114000106 | OK | Part B Supplier - Ambulance Service Supplier | 0840350310 | Practice locations: Boise City, OK |
National Provider Directory
National Provider DirectoryLocations
18 NE Square
Boise City, OK 73933
Phone (580) 544-3021
8 NE Square
Boise City, OK 73933
Phone (580) 544-3021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261094400000",
"number": "1396846523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 367",
"city": "BOISE CITY",
"state": "OK",
"postal_code": "739330367",
"telephone_number": "800-538-8278",
"fax_number": "580-628-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 NE SQUARE",
"city": "BOISE CITY",
"state": "OK",
"postal_code": "73933",
"telephone_number": "800-538-8278",
"fax_number": "580-628-2273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CIMARRON COUNTY AMBULANCE",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2009-12-18",
"status": "A",
"authorized_official_last_name": "OVERBAY",
"authorized_official_first_name": "ALBERT",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "580-544-3021"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "OK",
"license": "EMS001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100820100A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boise City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.