Organization Active NPI

Creek County Emergency Ambulance Service District

  • Land Ambulance
  • Sapulpa, OK
National Provider Identifier
1497747901
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on May 17, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100818820MedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100518000658 OK Part B Supplier - Ambulance Service Supplier 0941339659 Practice locations: Bristow, OK; Drumright, OK; Kiefer, OK; Sapulpa, OK

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.