NPIMap

Organization Active NPI

Town of Keyes Oklahoma

  • Land Ambulance
  • Keyes, OK
National Provider Identifier
1609879717
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS347 Issued in OK
Legal business name
TOWN OF KEYES OKLAHOMA
Practice address
106 E Third
Keyes, OK 73947
Phone
(580) 546-7651
Fax
(580) 546-7617
NPI assigned
May 23, 2005
Last updated
May 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Authorized official

Name
Mr. John C Moser
Title
EMS Director
Phone
(580) 546-7651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X EMS347 OK Primary

Addresses

Primary practice location

106 E Third
Keyes, OK 73947

Mailing address

PO Box 121
Keyes, OK 73947-0121
Phone (580) 546-7651

Other identifiers 2

IdentifierTypeStateIssuer
100819540AMedicaidOK
731593614-001OtherOKBCBS PROVIDER #

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1609879717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121",
            "city": "KEYES",
            "state": "OK",
            "postal_code": "739470121",
            "telephone_number": "580-546-7651",
            "fax_number": "580-546-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E THIRD",
            "city": "KEYES",
            "state": "OK",
            "postal_code": "73947",
            "telephone_number": "580-546-7651",
            "fax_number": "580-546-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF KEYES OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "580-546-7651",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "EMS347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100819540A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "731593614-001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keyes, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.