Organization Active NPI

City of Chandler

  • Land Ambulance
  • Chandler, OK
National Provider Identifier
1568560969
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
96032 Issued in OK
Legal business name
CITY OF CHANDLER
Practice address
220 S Cleveland Ave
Chandler, OK 74834-2242
Phone
(800) 538-8278
Fax
(580) 628-2273
NPI assigned
Sep 20, 2006
Last updated
Dec 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Authorized official

Name
Billy J. Buchanan
Title
Asst. Fire Chief / EMS Supervisor
Phone
(405) 258-3207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 96032 OK Primary

Addresses

Primary practice location

220 S Cleveland Ave
Chandler, OK 74834-2242

Mailing address

220 S Cleveland Ave
Chandler, OK 74834-2242
Phone (405) 258-3207

Other identifiers 1

IdentifierTypeStateIssuer
100819650AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091223000315 OK Part B Supplier - Ambulance Service Supplier 4486794476 Practice locations: Chandler, OK

National Provider Directory

National Provider Directory

Locations

220 S Cleveland Ave
Chandler, OK 74834
Phone (405) 258-1202

414 Manvel Ave
Chandler, OK 74834

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1568560969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S CLEVELAND AVE",
            "city": "CHANDLER",
            "state": "OK",
            "postal_code": "748342242",
            "telephone_number": "405-258-3207",
            "fax_number": "405-258-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S CLEVELAND AVE",
            "city": "CHANDLER",
            "state": "OK",
            "postal_code": "748342242",
            "telephone_number": "800-538-8278",
            "fax_number": "580-628-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CHANDLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ASST. FIRE CHIEF / EMS SUPERVISOR",
        "authorized_official_telephone_number": "405-258-3207"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "96032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100819650A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.