Active NPI
City of Tonkawa
- Land Ambulance
- Tonkawa, OK
National Provider Identifier
1497830731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- EMS161
- Legal business name
- CITY OF TONKAWA
- Practice address
- 113 S 7TH St
Tonkawa, OK 74653-5014 - Phone
- (800) 538-8278
- Fax
- (580) 628-2273
- NPI assigned
- Oct 26, 2006
- 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
- Kirk Henderson
- Title
- Fire Chief
- Phone
- (800) 538-8278
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | EMS161 | OK | Primary |
Addresses
Primary practice location
113 S 7TH St
Tonkawa, OK 74653-5014
Mailing address
113 S 7TH St
Tonkawa, OK 74653-5014
Phone (800) 538-8278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100820040A | 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 |
|---|---|---|---|---|
| O20100210000125 | OK | Part B Supplier - Ambulance Service Supplier | 2961545199 | Practice locations: Tonkawa, OK |
National Provider Directory
National Provider DirectoryLocations
710 S 13th St
Blackwell, OK 74631
Phone (580) 363-2311
113 S 7th St
Tonkawa, OK 74653
Phone (580) 628-3251
120 S Main St
Tonkawa, OK 74653
Phone (580) 308-6141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264550400000",
"number": "1497830731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 S 7TH ST",
"city": "TONKAWA",
"state": "OK",
"postal_code": "746535014",
"telephone_number": "800-538-8278",
"fax_number": "580-628-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 S 7TH ST",
"city": "TONKAWA",
"state": "OK",
"postal_code": "746535014",
"telephone_number": "800-538-8278",
"fax_number": "580-628-2273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF TONKAWA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-26",
"last_updated": "2010-01-27",
"status": "A",
"authorized_official_last_name": "HENDERSON",
"authorized_official_first_name": "KIRK",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "800-538-8278"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "OK",
"license": "EMS161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100820040A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tonkawa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.