Organization Active NPI

Oologah-Talala EMS District

  • Ambulance
  • Oologah, OK
National Provider Identifier
1407934409
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
356 Issued in OK
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

Updated by the provider on May 26, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
=========OtherOKBC/BS
P00126689OtherRR MEDICARE
200002300AMedicaidOK

Other names 1

  • Oologah-Talala EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091124000063 OK Part B Supplier - Ambulance Service Supplier 3375682842 Practice locations: Oologah, OK

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.