NPIMap

Organization Active NPI

Kiowa County District Three Emergency Ambulance Association

  • Ambulance
  • Mountain Park, OK
National Provider Identifier
1639230790
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
052 Issued in OK
Legal business name
KIOWA COUNTY DISTRICT THREE EMERGENCY AMBULANCE ASSOCIATION
Doing business as
Kiowa County District Three Emergency Ambulance Association
Practice address
206 Spruce Street
Mountain Park, OK 73559-0220
Phone
(580) 569-2908
Fax
(580) 569-2908
NPI assigned
Dec 13, 2006
Last updated
Jan 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Authorized official

Name
Mr. Dallas Ray McPhail
Title
Vice President
Phone
(580) 569-2778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 052 OK Primary

Addresses

Primary practice location

206 Spruce Street
Mountain Park, OK 73559-0220

Mailing address

PO Box 220
206 Spruce Street
Mountain Park, OK 73559-0220
Phone (580) 569-2908

Other identifiers 4

IdentifierTypeStateIssuer
590002665OtherOKRAILROAD MEDICARE
892540001-001OtherOKBC/BS
100818890AMedicaidOK
892540001-001OtherOKBLUE CROSS BLUE SHIELD

Other names 1

  • Kiowa County District Three Emergency Ambulance Association Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1639230790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "address_2": "206 SPRUCE STREET",
            "city": "MOUNTAIN PARK",
            "state": "OK",
            "postal_code": "735590220",
            "telephone_number": "580-569-2908",
            "fax_number": "580-569-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 SPRUCE STREET",
            "city": "MOUNTAIN PARK",
            "state": "OK",
            "postal_code": "735590220",
            "telephone_number": "580-569-2908",
            "fax_number": "580-569-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIOWA COUNTY DISTRICT THREE EMERGENCY AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "MCPHAIL",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "580-569-2778",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OK",
            "license": "052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590002665",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "892540001-001",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100818890A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "892540001-001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kiowa County District Three Emergency Ambulance Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain Park, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.