NPIMap

Organization Active NPI

Town of Goodwell

  • Land Ambulance
  • Goodwell, OK
National Provider Identifier
1508934944
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS141 Issued in OK
Legal business name
TOWN OF GOODWELL
Practice address
104 S Main
Goodwell, OK 73939
Phone
(580) 349-2566
Fax
(580) 349-2983
NPI assigned
Dec 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Billie Rohde
Title
Director
Phone
(580) 349-2566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X EMS141 OK Primary

Addresses

Primary practice location

104 S Main
Goodwell, OK 73939

Mailing address

PO Box 759
Goodwell, OK 73939-0759
Phone (580) 349-2566

Other identifiers 1

IdentifierTypeStateIssuer
690731851001OtherOKBCBS OF OKLAHOMA

Other names 1

  • GOODWELL AMBULANCE SERVICE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1508934944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 759",
            "city": "GOODWELL",
            "state": "OK",
            "postal_code": "739390759",
            "telephone_number": "580-349-2566",
            "fax_number": "580-349-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S MAIN",
            "city": "GOODWELL",
            "state": "OK",
            "postal_code": "73939",
            "telephone_number": "580-349-2566",
            "fax_number": "580-349-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF GOODWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-02",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ROHDE",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "580-349-2566"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "EMS141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF OKLAHOMA",
            "identifier": "690731851001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOODWELL AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goodwell, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.