City of Pawnee

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS187 Issued in OK

Legal business name

CITY OF PAWNEE

Practice address

510 Illinois St
Pawnee, OK 74058-2036

Phone

(800) 538-8278

Fax

(580) 628-2273

NPI assigned

Oct 26, 2006

Last updated

Jan 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Novotny

Title

Fire Chief

Phone

(800) 538-8278

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1659456978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 ILLINOIS ST",
            "city": "PAWNEE",
            "state": "OK",
            "postal_code": "740582036",
            "telephone_number": "800-538-8278",
            "fax_number": "580-628-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 ILLINOIS ST",
            "city": "PAWNEE",
            "state": "OK",
            "postal_code": "740582036",
            "telephone_number": "800-538-8278",
            "fax_number": "580-628-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PAWNEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "NOVOTNY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "800-538-8278"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "EMS187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC PROVIDER NUMBER",
            "identifier": "590120213",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100819920A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Robert Burnham IX, D.PH.
• Cah Acquisition Company 12 LLC (The Pawnee Clinic)
• Laci Jolee Campbell
• CHI Inc
• Kelli Christensen, PA-C
• Mee-Kai Clark
• Jace Clinkenbeard, PT, DPT
• William Edward Clymer, DO
• Marsha Cobell-Moore, MSW LCSW
• Cockrell Eyecare Center

• Land Ambulance in Pawnee, OK
• Providers in Pawnee, OK by specialty
• Land Ambulance in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.