Active NPI
City of Chandler
- Land Ambulance
- Chandler, OK
National Provider Identifier
1568560969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 96032
- 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, 2009
- 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
- Billy J. Buchanan
- Title
- Asst. Fire Chief / EMS Supervisor
- Phone
- (405) 258-3207
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100819650A | 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 |
|---|---|---|---|---|
| O20091223000315 | OK | Part B Supplier - Ambulance Service Supplier | 4486794476 | Practice locations: Chandler, OK |
National Provider Directory
National Provider DirectoryLocations
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
- Chandler Outreach Medical Center
- Chandler Outreach Medical Center, LLC (Chandler Outreach Medical Center)
- Chandler Public Schools
- Chandler Therapy & Living Center LLC (Chandler Nursing Center)
- Christopher Linn Chiles
- Ginger Clark
- Secily Rachelle Cleere
- Megan Coburn, PHARM D
- Richard Allen Covington, D.PH.
- Crouch Family Medicine PC
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.