NPIMap

Organization Active NPI

Jackson County Emergency Medical Service District

  • Land Ambulance
  • Altus, OK
National Provider Identifier
1598768335
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS238 Issued in OK
Legal business name
JACKSON COUNTY EMERGENCY MEDICAL SERVICE DISTRICT
Practice address
1309 N Park LN
Altus, OK 73521-4552
Phone
(580) 477-4112
Fax
(580) 477-1070
NPI assigned
May 24, 2005
Last updated
Aug 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

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

Authorized official

Name
Ms. Tammie B Saville
Title
Office Manager
Phone
(580) 477-4112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X EMS238 OK Primary

Addresses

Primary practice location

1309 N Park LN
Altus, OK 73521-4552

Mailing address

1309 N Park LN
Altus, OK 73521-4552
Phone (580) 477-4112

Other identifiers 1

IdentifierTypeStateIssuer
100819040AMedicaidOK

Other names 1

  • Jackson County EMS Other name

National Provider Directory

National Provider Directory

Locations

1309 N Park Ln
Altus, OK 73521
Phone (580) 477-4112

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1598768335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 N PARK LN",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735214552",
            "telephone_number": "580-477-4112",
            "fax_number": "580-477-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 N PARK LN",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735214552",
            "telephone_number": "580-477-4112",
            "fax_number": "580-477-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY EMERGENCY MEDICAL SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "SAVILLE",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "580-477-4112",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "EMS238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100819040A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson County EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Altus, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; 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.