Organization Active NPI

City of Tonkawa

  • Land Ambulance
  • Tonkawa, OK
National Provider Identifier
1497830731
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS161 Issued in OK
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

Updated by the provider on Jan 27, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100820040AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100210000125 OK Part B Supplier - Ambulance Service Supplier 2961545199 Practice locations: Tonkawa, OK

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.