Active NPI
Vici-Camargo EMS
- Land Ambulance
- Vici, OK
National Provider Identifier
1457585069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 411
- Legal business name
- VICI-CAMARGO EMS
- Practice address
- 611 N Main
Vici, OK 73859-0239 - Phone
- (580) 799-2173
- Fax
- (580) 995-3351
- NPI assigned
- May 11, 2009
- Last updated
- May 14, 2026
- 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
- Katrina Lynn Bryant, AEMT
- Title
- Director
- Phone
- (580) 273-0106
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 411 | OK | Primary |
Addresses
Primary practice location
611 N Main
Vici, OK 73859-0239
Mailing address
PO Box 239
Vici, OK 73859-0239
Phone (580) 273-0106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OKB5710 | Other | OK | PTAB |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090908000670 | OK | Part B Supplier - Ambulance Service Supplier | 9133274590 | Practice locations: Vici, OK |
National Provider Directory
National Provider Directory- Tax ID family
- Vici-Camargo EMS
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Vici, OK
- NPI 1134122591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778716800000",
"number": "1457585069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 239",
"city": "VICI",
"state": "OK",
"postal_code": "738590239",
"telephone_number": "580-273-0106",
"fax_number": "580-995-3628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 N MAIN",
"city": "VICI",
"state": "OK",
"postal_code": "738590239",
"telephone_number": "580-799-2173",
"fax_number": "580-995-3351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICI-CAMARGO EMS",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-11",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A",
"authorized_official_last_name": "BRYANT",
"authorized_official_first_name": "KATRINA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "580-273-0106",
"authorized_official_credential": "AEMT"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "OK",
"license": "411",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAB",
"identifier": "OKB5710",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vici, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.