Town of Burns Flat Washita Co
Organization Active NPI Land Ambulance · Burns Flat, OK
NPI 1699730259 · NPPES record last updated Oct 6, 2010
Key facts
- NPI
- 1699730259
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- EMS084 (OK)
- Legal business name
- TOWN OF BURNS FLAT WASHITA CO
- Practice address
- Town Hall S. Hwy 44
Burns Flat, OK 73624 - Phone
- (580) 562-3144
- Fax
- (580) 562-3146
- NPI assigned
- Apr 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Debbie Bloomer, EMTB
- Title
- EMS Director
- Phone
- (580) 562-3144
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101025001234 | OK | Part B Supplier - Ambulance Service Supplier | 4486847266 | Practice locations: Burns Flat, OK |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | EMS084 | OK | Yes |
Addresses
Primary practice location
Town Hall S. Hwy 44
Burns Flat, OK 73624
Mailing address
PO Box 410
Burns Flat, OK 73624-0410
Phone (580) 562-3144
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100818500A | Medicaid | OK |
Other names
- Burns Flat Ambulance
Other providers in Burns Flat, OK
- Samantha Nissi Cowan
- Faithcare Pharmacy
- Joshua Goldman
- Mark Meacham
- South Western Oklahoma Development Authority
All providers in Burns Flat, OK · Land Ambulance in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.