Active NPI
Collinsville Rural Fire Protection District
- Emergency Medical Services (Emergency Medicine) Physician
- Collinsville, OK
National Provider Identifier
1639058472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- Legal business name
- COLLINSVILLE RURAL FIRE PROTECTION DISTRICT
- Practice address
- 1018 S 12TH St
Collinsville, OK 74021-2936 - Phone
- (918) 371-4854
- NPI assigned
- Aug 27, 2025
- 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
- Mr. James Dustin Ray
- Title
- Lieutenant
- Phone
- (918) 607-1228
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | Primary |
Addresses
Primary practice location
1018 S 12TH St
Collinsville, OK 74021-2936
Mailing address
PO Box 293
Collinsville, OK 74021-0293
Phone (918) 371-4854
National Provider Directory
National Provider DirectoryLocations
1018 S 12th St
Collinsville, OK 74021
Phone (918) 371-4854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756252800000",
"number": "1639058472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 293",
"city": "COLLINSVILLE",
"state": "OK",
"postal_code": "740210293",
"telephone_number": "918-371-4854",
"fax_number": "918-371-4854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 S 12TH ST",
"city": "COLLINSVILLE",
"state": "OK",
"postal_code": "740212936",
"telephone_number": "918-371-4854"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLLINSVILLE RURAL FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-27",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A",
"authorized_official_last_name": "RAY",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "DUSTIN",
"authorized_official_title_or_position": "LIEUTENANT",
"authorized_official_telephone_number": "918-607-1228",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Collinsville, OK
- Collinsville Family Clinic, Inc.
- Collinsville Family Pharmacy LC (Collinsville Family Pharmacy)
- Collinsville Family Pharmacy LC (Collinsville Family Pharmacy)
- Collinsville Primary Eyecare
- Collinsville Public Schools
- Cordero Counseling, PLLC
- Jerry C Crain, D.O.
- James E Crismond, PT
- Shannon Lee Davis, APRN, FNP-C
- Robert William Dean Jr., D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.