Organization Active NPI

Central Med EMS, Inc.

  • Land Ambulance
  • Pawhuska, OK
National Provider Identifier
1457457632
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
385 Issued in OK
Legal business name
CENTRAL MED EMS, INC.
Practice address
201 E 6TH St
Pawhuska, OK 74056-4205
Phone
(918) 287-1341
NPI assigned
Sep 15, 2006
Last updated
Apr 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Jennifer Dianne Weaver
Title
Director
Phone
(918) 287-1341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 385 OK Primary

Addresses

Primary practice location

201 E 6TH St
Pawhuska, OK 74056-4205

Mailing address

201 E 6TH St
Pawhuska, OK 74056-4205
Phone (918) 287-1341

Other identifiers 1

IdentifierTypeStateIssuer
200020400*21MedicaidOK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1457457632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 6TH ST",
            "city": "PAWHUSKA",
            "state": "OK",
            "postal_code": "740564205",
            "telephone_number": "918-287-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 6TH ST",
            "city": "PAWHUSKA",
            "state": "OK",
            "postal_code": "740564205",
            "telephone_number": "918-287-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MED EMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "918-287-1341"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200020400*21",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawhuska, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.