Active NPI
Oologah-Talala EMS District
- Ambulance
- Oologah, OK
National Provider Identifier
1407934409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 356
- Legal business name
- OOLOGAH-TALALA EMS DISTRICT
- Doing business as
- Oologah-Talala EMS
- Practice address
- 100 W Cooweescoowee Ave
Oologah, OK 74053-4168 - Phone
- (918) 443-2350
- NPI assigned
- Nov 1, 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
- Brandi Pond
- Title
- Executive Director
- Phone
- (918) 443-2350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 356 | OK | Primary |
Addresses
Primary practice location
100 W Cooweescoowee Ave
Oologah, OK 74053-4168
Mailing address
100 W Cooweescoowee Ave
Oologah, OK 74053-4168
Phone (918) 443-2350
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ========= | Other | OK | BC/BS |
| P00126689 | Other | RR MEDICARE | |
| 200002300A | Medicaid | OK |
Other names 1
- Oologah-Talala EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091124000063 | OK | Part B Supplier - Ambulance Service Supplier | 3375682842 | Practice locations: Oologah, OK |
National Provider Directory
National Provider DirectoryLocations
18955 S 4150 Rd
Claremore, OK 74017
1202 N Muskogee Pl
Claremore, OK 74017
Phone (918) 341-2556
100 W Cooweescoowee Ave
Oologah, OK 74053
Phone (918) 418-9359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748217600000",
"number": "1407934409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W COOWEESCOOWEE AVE",
"city": "OOLOGAH",
"state": "OK",
"postal_code": "740534168",
"telephone_number": "918-443-2350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W COOWEESCOOWEE AVE",
"city": "OOLOGAH",
"state": "OK",
"postal_code": "740534168",
"telephone_number": "918-443-2350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OOLOGAH-TALALA EMS DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2025-05-26",
"certification_date": "2025-05-26",
"status": "A",
"authorized_official_last_name": "POND",
"authorized_official_first_name": "BRANDI",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "918-443-2350"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "OK",
"license": "356",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "=========",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00126689",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200002300A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Oologah-Talala EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oologah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; 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.