City of Stilwell

Primary specialty

AmbulanceTaxonomy code 341600000X

License

EMS095 Issued in OK

Legal business name

CITY OF STILWELL

Practice address

20 1/2 W. Walnut
Stilwell, OK 74960

Phone

(918) 696-7209

Fax

(918) 696-8745

NPI assigned

Oct 30, 2007

Last updated

Jun 11, 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

Mrs. Karin Marianne Ketcher

Title

Director

Phone

(918) 696-6443

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276214400000",
    "number": "1689853319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 W DIVISION",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "74960",
            "telephone_number": "918-696-7209",
            "fax_number": "918-696-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 1/2 W. WALNUT",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "74960",
            "telephone_number": "918-696-7209",
            "fax_number": "918-696-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF STILWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2010-06-11",
        "status": "A",
        "authorized_official_last_name": "KETCHER",
        "authorized_official_first_name": "KARIN",
        "authorized_official_middle_name": "MARIANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "918-696-6443",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OK",
            "license": "EMS095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100817670A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "690730305-001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherokee Nation
• Carolyn J Chichester
• Amy Alison Christie, DPH
• Deanna Lee Christie, BS RN
• Mika Kay Chuculate
• Marsha Clinton
• Kimberly Copeland, LCSW
• Sammi Copeland
• Shelbie Nichole Corwin, MT
• Crystal Cox

• Ambulance in Stilwell, OK
• Providers in Stilwell, OK by specialty
• Ambulance in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.