Organization Active NPI

Hughes County Emergency Medical Services

  • Land Ambulance
  • Holdenville, OK
National Provider Identifier
1609879840
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS051 Issued in OK
Legal business name
HUGHES COUNTY EMERGENCY MEDICAL SERVICES
Practice address
114 N Oak St
Holdenville, OK 74848-3214
Phone
(405) 379-7046
Fax
(405) 379-6369
NPI assigned
May 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Mr. Christopher Cates Miller, NRP
Title
Director
Phone
(405) 379-7046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X EMS051 OK Primary

Addresses

Primary practice location

114 N Oak St
Holdenville, OK 74848-3214

Mailing address

PO Box 671
Holdenville, OK 74848-0671
Phone (405) 379-7046

Other identifiers 3

IdentifierTypeStateIssuer
100819260AMedicaidOK
736063754-001OtherOKBCBS PROVIDER #
826590524OtherOKRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080818000473 OK Part B Supplier - Ambulance Service Supplier 4082789540 Practice locations: Holdenville, OK

National Provider Directory

National Provider Directory

Locations

414 E Main St
Holdenville, OK 74848
Phone (405) 379-7046

114 N Oak St
Holdenville, OK 74848
Phone (405) 379-7046

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": "1707436800000",
    "number": "1609879840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 671",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "748480671",
            "telephone_number": "405-379-7046",
            "fax_number": "405-379-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N OAK ST",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "748483214",
            "telephone_number": "405-379-7046",
            "fax_number": "405-379-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGHES COUNTY EMERGENCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "CATES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-379-7046",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NRP"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "EMS051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100819260A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "736063754-001",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "826590524",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holdenville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.