Active NPI
Creek County Emergency Ambulance Service District
- Land Ambulance
- Sapulpa, OK
National Provider Identifier
1497747901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CREEK COUNTY EMERGENCY AMBULANCE SERVICE DISTRICT
- Practice address
- 123 E Hobson Ave
Sapulpa, OK 74066-2807 - Phone
- (918) 227-4111
- Fax
- (918) 227-4395
- NPI assigned
- Aug 19, 2005
- 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
- Ms. Sandy M Howard
- Title
- Office Manager
- Phone
- (918) 227-4111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
123 E Hobson Ave
Sapulpa, OK 74066-2807
Mailing address
123 E Hobson Ave
Sapulpa, OK 74066-2807
Phone (918) 227-4111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100818820 | 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 |
|---|---|---|---|---|
| O20100518000658 | OK | Part B Supplier - Ambulance Service Supplier | 0941339659 | Practice locations: Bristow, OK; Drumright, OK; Kiefer, OK; Sapulpa, OK |
National Provider Directory
National Provider DirectoryLocations
130 E 9th Ave
Bristow, OK 74010
Phone (918) 227-4111
600 Shaffer
Drumright, OK 74030
Phone (918) 227-4111
680 E Indiana
Kiefer, OK 74041
Phone (918) 227-4111
123 E Hobson Ave
Sapulpa, OK 74066
Phone (918) 227-4111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274054400000",
"number": "1497747901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 E HOBSON AVE",
"city": "SAPULPA",
"state": "OK",
"postal_code": "740662807",
"telephone_number": "918-227-4111",
"fax_number": "918-227-4395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 E HOBSON AVE",
"city": "SAPULPA",
"state": "OK",
"postal_code": "740662807",
"telephone_number": "918-227-4111",
"fax_number": "918-227-4395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREEK COUNTY EMERGENCY AMBULANCE SERVICE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-19",
"last_updated": "2010-05-17",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "SANDY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "918-227-4111",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100818820",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sapulpa, OK
- Rachel Couey
- Clayton Covington
- Linda Lee Cranfield, PTA
- Karen Kay Cravens
- Lesli Crawford
- Creek Nation Behavioral Health
- Creek Nation Health (creek behavorial Health)
- Creek Nation Health Systems
- Creek Nation Hospital & Clinics (Sapulpa Health Dietitians)
- Creek Nation Hospital & Clinics (Sapulpa Indian Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.